论文部分内容阅读
目的探究不典型急性心肌梗死的临床表现及早期鉴别的要点。方法回顾性分析2010年2月至2013年2月期间收治的不典型急性心肌梗死患者50例的临床诊治资料,着重比较患者的临床表现以及早期特异性指标。结果 50例不典型急性心肌梗死患者中,消化系统为首发表现占42.0%,呼吸系统为首发表现占20.0%,神经系统为首发表现占16.0%,循环系统为首发表现占18.0%,2例患者无明显表现,占4.0%。所有患者均有实验室检查的异常表现,阳性率为100%;患者中最终好转出院36例,占72.0%。结论不典型急性心肌梗死往往临床不典型,而实验室检查比较敏感,在临床诊断时要做好早期识别,从而及时进行治疗,改善患者的预后。
Objective To investigate the clinical manifestations and early identification of atypical acute myocardial infarction. Methods The clinical data of 50 patients with atypical acute myocardial infarction who were admitted from February 2010 to February 2013 were retrospectively analyzed. The clinical manifestations and early specificity of the patients were compared. Results Among the 50 patients with atypical AMI, digestive system accounted for 42.0%, respiratory system 20.0%, nervous system 16.0%, circulatory system 18.0%, and 2 patients No obvious performance, accounting for 4.0%. All patients had abnormal laboratory tests, the positive rate was 100%; the final improvement in patients discharged 36 cases, accounting for 72.0%. Conclusions Atypical AMI is often atypical, and laboratory tests are more sensitive. Early diagnosis should be done in early diagnosis so as to promptly improve the prognosis of patients.