摘要
目的探讨无痛性心肌梗死的临床特征。方法将我科收治的196例急性心肌梗死(AMI)患者根据有无胸痛而分为无胸痛组73例和胸痛组123例,比较两组的临床特征。结果无胸痛组发病年龄大(P<0.05),伴有糖尿病者多(P<0.05);平均就诊时间晚(P<0.05);溶栓率低(P<0.05),误诊率高(P<0.05);病死率高,预后差(P<0.05)。结论无胸痛组患者较胸痛组患者预后差,因此应及早诊断,有效治疗。
Objective To investigate the clinical characteristic of painless myocardial infarction. Method 196 cases of patients with acute myocardial infarction were divided into painless group（n=73） and pain group（n=123）based on pain symptom and compared clinical characteristic between them. Result Compared with pain group, patients in the painless group have older age（P〈0.05）and more of them have concomitant diabetes（P〈0.05）.ln addition, patients in painless group have later time of vist（P〈0.05）,more misdiagnose rate（P〈0. 05）, less vein thrombolysis treatment（P〈0.05）,and more case fatality ratio（P〈0.05）.Conclusion The painless group has poorer prognosis compared with the pain group and should receive early diagnosis and effective treatment.
出处
《中外医疗》
2008年第11期11-12,共2页
China & Foreign Medical Treatment
关键词
无痛性心肌梗死
临床特征
Painless myocardial infarction
Clinical characteristic
