非典型临床症状急性心肌梗死患者的早期诊断及对策

In Early Days Diagnosis and Counterplan of Non-typical Model Clinical Symptom AMI Patient

急性心肌梗死临床上并不少见，因其病情凶险、病死率高，长期以来一直是急诊内科医师在急诊工作中重视的问题。及时、正确的诊断并采取有效的治疗对降低死亡率，改善预后至关重要。典型心肌梗死发作者表现为胸骨后压榨性或紧缩性疼痛，结合心电图等检查诊断并不困难，但非典型心绞痛患者延误诊断亦非罕见。一般在急性心肌梗死患者中非典型心绞痛型达1/6-1／3，而在老年急性心肌梗死病例中，非典型心绞痛型的发病率可为30．2％，无症状型更是高达42％，而典型心绞痛型仅占20％。说明在老年人急性心肌患者中，非典型心绞痛型是一较明显的特点之一。

The acute cardiac arrest on clinical is not rare, because its condition bad risk, the case fatality rate are high, since long ago always is emergency medical treatment therapist the question which takes in the emergency medical treatment work. Prompt,the correct diagnosis and adopts the effective treatment to reduce the mortality rate,the im provement prognosisis very important. The typical cardiac arrest manifesting suddenly performance for retrosternal squeezing or the compactness ache,inspection diagnosis and so on union electrocardiogram is not difficult. But the non typical angina pectoris patient delays the diagnosis non-to be also rare. Reaches 1/6 generally in the acute cardiac arrest patient Central Africa typical angina pectoris- 1/3. But in the old age acute cardiac arrest case of illness, the non-typical angina pectoris disease incidence rate may be 30.2 %, does not have the symptom is reaches as high as 42 %, but the typical angina pectoriS only accounts for 20%. The explanation in the senior citizen acute heart stem patient,the non typical angina pectoris is one of obvious characteristics.