不典型性急性心肌梗死的临床特点及诊治分析

Clinical features and diagnosis and treatment of atypical acute myocardial infarction

目的探讨不典型急性心肌梗死患者的临床发病特点及诊治效果。方法对菏泽市牡丹人民医院2007年11月至2011年2月收治的50例不典型急性心肌梗死患者的发病特点、早期诊断及治疗体会进行回顾性分析。结果本组50例不典型急性心肌梗死患者中经治疗后痊愈48例2,例死亡,其中死于心源性休克和心力衰竭各1例。结论首发症状不典型的AMI临床表现多种多样,易漏诊误诊。临床医生应对急性心肌梗死疼痛部位变异和首发症状变异有足够认识,对疑似急性心肌梗死的患者进行常规的心电监测和心肌酶学动态性观察,以提高AMI的诊断率和抢救成功率。

Objective To explore the acute myocardial infarction in patients with atypical clinical features and diagnosis and treatment of disease.Methods The hospital in November 2007-February 2011 were treated 50 cases of acute myocardial infarction in patients with atypical clinical characteristics,early diagnosis and treatment were retrospectively analyzed.Results The group of 50 cases of atypical patients with acute myocardial infarction after treatment cured 48 cases,2 deaths,died of cardiogenic shock and heart failure in 1 case.Conclusions The initial symptoms are not typical of AMI variety of clinical manifestations,easy to misdiagnosis.Clinicians deal with the pain of acute myocardial infarction symptom variation and mutation sites have sufficient knowledge of suspected acute myocardial infarction patients,routine ECG monitoring and dynamic observation of serum creatine kinase,in order to improve the diagnosis of AMI rate and survival rate.