不典型急性下壁心肌梗死院前急救特点分析

Characteristics analylsis of atypical acute inferior wall myocardial infarction in the pre-hospital first aid emergency

目的探讨不典型表现的急性下壁心肌梗死(AMI)特点,提高院前急救的诊治水平。方法对25例不典型急性下壁心肌梗死患者,对其临床表现进行回顾性分析。结果急性下壁心肌梗死的患者由于症状不典型,易造成误诊和漏诊,主要表现为急性胃肠炎16例,头晕查因4例,胆囊炎3例,下肢疼痛2例。心律失常、心力衰竭、心源性休克是主要的致死原因。结论院前快速准确的诊断评估,及时实施规范有效的院前急救可降低患者的死亡率、改善预后。

Objective To investigate the atypical manifestations of acute inferior wall myocardial in- farction characteristics, improve the level of diagnosis and treatment of pre-hospital first aid. Methods 25cases of patients with acute inferior wall myocardial infarction, the clinical manifestations were retrospectively analyzed. Results Acute inferior wall myocardial infarction patients with atypical symptoms, easy cause misdi- agnosis and missed diagnosis, mainly for acute gastroenteritis in 16 cases ,4 cases of dizziness check because, cholecystitis in 3 cases, lower limb pain in 2 cases. Arrhythmia, heart failure, cardiogenic shock is an impor- tant cause of death. Conclusion Prehospital rapid and accurate diagnostic assessment, the timely implementa- tion of effective prehospital emergency care can reduce the mortality rate of patients, improve the prognosis.