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临床上,经常遇到症状不典型的急性心肌梗塞(AMI)病人,给医务人员及时正确的诊治带来困难,现摘2例报道如下。例1男,76岁,因阵发性胸痛半年,左侧牙痛5天入院。患者半年前开始出现阵发性胸骨后疼痛,多于劳累时发作,每次持续约4～5分钟,休息后缓解,未系统治疗。5天前突然出现左侧牙痛,呈持续性,伴出汗,无发热。曾在牙科就诊,无异常发现,应用青霉素800万 U 每日1次,静滴4天,牙痛无缓解,而
Clinically, often encounter symptoms of atypical acute myocardial infarction (AMI) patients give medical staff timely and accurate diagnosis and treatment difficulties, are hereby reported two cases are reported below. Example 1 Male, 76 years old, due to paroxysmal chest pain for six months, left toothache admitted for 5 days. Patients began to appear after half a year of paroxysmal suprasternal pain, more than tired when the attack, each lasting about 4 to 5 minutes, rest after remission, no systematic treatment. 5 days ago suddenly appeared on the left toothache, was persistent, with sweating, no fever. Had dental treatment, no abnormal findings, the application of penicillin 8 million U once daily, intravenous infusion of 4 days, no toothache relief, and