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目的探究急性心肌梗死不典型心电图特点的分析及意义。方法选取我院急性心肌梗死患者25例,收治时间在2012年3月至2014年5月期间,对患者不典型心电图特点进行分析。结果 25例急性心肌梗死患者死亡的有3例,其中心力衰竭患者1例、心律失常患者1例、心源性休克患者1例,其余22例患者给予针对性治疗后,均好转出院。误诊为消化道疾病患者有10例、其中急性胰腺炎患者2例、急性胆囊炎患者3例、胃肠痉挛患者3例、急性胃炎患者2例,误诊为循环系统疾病患者有7例、其中体位性晕厥患者有2例、感染性休克患者2例、急性左心衰竭患者3例,误诊为呼吸疾病患者有8例、其中喘息性支气管炎患者有4例、慢支肺气肿急性发作患者有4例。结论在急性心肌梗死患者中,有40%左右患者伴有心电图不典型情况,易发生漏诊、误诊情况,影响患者的预后,对不明原因的晕厥、休克、突发心力衰竭、上腹部疼痛等症状患者,应进行心电图动态观察,明确其诊断。
Objective To investigate the characteristics of atypical electrocardiogram in acute myocardial infarction (AMI) and its significance. Methods Twenty-five patients with acute myocardial infarction in our hospital were selected, and the characteristics of atypical electrocardiogram were analyzed during the period from March 2012 to May 2014. Results 25 patients died of acute myocardial infarction in 3 cases, including 1 case of heart failure, 1 case of arrhythmia, 1 case of cardiogenic shock, and the remaining 22 patients given targeted treatment, were better discharged. Misdiagnosed as gastrointestinal diseases in 10 patients, including 2 cases of acute pancreatitis, acute cholecystitis in 3 cases, 3 cases of gastrointestinal spasm, 2 cases of acute gastritis, misdiagnosed as circulatory system disease in 7 patients, including body position There were 2 cases of syncope, 2 cases of septic shock, 3 cases of acute left heart failure, misdiagnosed as respiratory disease in 8 cases, including asthmatic bronchitis in 4 cases, acute exacerbation of chronic bronchitis emphysema patients 4 cases. Conclusions About 40% of patients with acute myocardial infarction are associated with atypical electrocardiogram (ECG), missed diagnosis and misdiagnosis, prognosis of patients, unexplained syncope, shock, sudden heart failure, upper abdominal pain and other symptoms Patients should be dynamic observation of ECG, a clear diagnosis.