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急性心肌梗塞在没有心前区、胸骨后疼痛,或疼痛轻微而以其他症状为主要表现时,往往由于临床表现不典型,易误诊或漏诊。我院自1978年1月至1980年8月间,共收治25例急性心肌梗塞患者(均经心电图证实,并排除了急性病毒性心肌炎或肥厚型心肌病所致酷似心肌梗塞心电图改变)。其中有10例临床表现不典型,此类患者表现多样,诊断不易,且死亡率高。现分析报告如下:
Acute myocardial infarction in the absence of precordial, sternal pain, or minor pain and other symptoms as the main performance, often atypical clinical manifestations, often misdiagnosis or missed diagnosis. In our hospital from January 1978 to August 1980, a total of 25 patients with acute myocardial infarction (both confirmed by ECG, and exclude acute viral myocarditis or hypertrophic cardiomyopathy caused by myocardial infarction similar ECG changes). Of which 10 cases of atypical clinical manifestations, such patients with diverse performance, diagnosis is not easy, and high mortality. The analysis report is as follows: