不典型心肌梗死72例患者的临床分析

The clinic symptoms of untypical myocardial infarction

目的探讨不典型心肌梗死的临床特点。方法对1990年1月至2006年1月我院收治的不典型急性心肌梗死72例进行回顾性分析。结果通过比较不典型急性心肌梗死的特点,发现临床表现为突发腹痛、肩痛、牙痛或突然出现心衰、心律失常、休克、昏迷、偏身肢体麻木者,应考虑急性心肌梗死的可能。结论为有效防止不典型心肌梗死的漏诊、误诊,应作常规心电图检查,若心电图表现不典型,则应注意有无正后壁及右室梗死的心电图表现,加做V7～V及VR～VR,要动态观察心电图变化,查心肌酶谱。

Objective To study characteristics of Untypical Mycardial Infarction. Methods From Jan. 1990 to Jan. 2006,By the retrospective study,the data of 72 patients with Untypical Mycardial Infarction was analysed. Results Through the comparison Untypical Mycardial Infarction characteristic, discovered the clinical manifestation for the sharp - edged abdominal pain, the shoulder pain, the toothache or appears the heart to fade suddenly, the arrythmia, the shock, the stupor, leaning body numbness,should consider the Untypical Mycardial Infarction the possibility. Conclusion To prevent the Untypical Mycardial Infarction effectively from leaking diagnoses, misdiagnoses, should make the conventional ECG inspection, if the ECG is Untypical, then should pay attention to the ECG which is the behind of left ventricle of heart and the right ventricnlar infarction, makes V7 - V9 and V3 R -V5 R,wants the dynamic observation ECG change,looks up the cardic muscle enzyme spectrum.