非典型急性心肌梗死的早期诊断

Early diagnosis of non--typical acute miocardial infarction

典型急性心肌梗死较易诊断，而非典型急性心肌梗死早期诊断比较困难。要着重从以下几方面注意，以期做到早期明确诊断。①中年以上男性，有肥胖、高血压、高脂血症，出现与饮食关系不大的上腹痛、恶心、呕吐等消化系统症状。②有慢性肺部疾病，突然加重的呼吸困难，咳嗽、胸闷等症状。③有糖尿痛史或多发性大动脉炎，出现循环衰竭或意识障碍。④有脑血管病、冠心病、炙然出现低血压或休克时。⑤中老年出现牙痛、面痛、颈痛者。对以上情况要及时做心电图和心肌酶学检查。

It is easier to diagnose acute myocardial infarction,but for non--typical one,it is rather difficult. The following should be paid more attention to clarify the disease in early stage. （1）Middle aged men suffered with overfat,high blood pressure,high blood fat,show store achache,nausea, vomit and other symptoms of digest system while appetite is normal. （2）Chronic lung diseases become serious in a short period and patients feel difficult to breath and chest oppressed,and cough heavily. （3）Patients suffered diabetes or aorto arterltis show circulate failure and consciousness disabled. （4） Pailents suffered eerebrovascular disease,coronary heart disease,show lower blood pressure or shock in a short time.（5）Middle aged and aged people, show toothache,check ache or neck ache. For the above,cardiogram and cardiac muscle enzyme should be tested.