不典型急性心肌梗死的临床特点

Clinical features of atypical acute myocardial infarction

目的通过观察急性心肌梗死(AMI)患者的诊断准确率,分析不典型急性心肌梗死的临床特点,以期为本病症的诊断提供一定的依据,减少误诊情况。方法选取信阳市中心医院2008年1月至2010年12月收治的不典型急性心肌梗死患者48例,对患者的临床资料进行回顾性分析和总结。结果在不典型急性心肌梗死患者的诊断过程中,可能出现神经系统、呼吸系统或消化系统等心脏外的症状,很容易造成误诊误治,需要结合实验室检查与心电图的动态观察,才可进行确诊。结论对于不典型急性心肌梗死患者进行临床诊断时,必须结合患者的临床体征与心电图检查,必要时进行心肌酶谱检查,进行综合分析才能有效提高急性心肌梗死患者的正确诊断率和成功救治率。

Objective To provide certain basis for diagnosis of atypical acute myocardial infarction（AMI） and reduce the misdiagnosis by observing the diagnostic accuracy of AMI and analyzing the clinical features of atypical AMI.Methods The clinical data of 48 patients with atypical AMI admitted in our hospital from January 2008 to December 2010 were analyzed and summarized.Results During the diagnostic process of of atypical AMI,symptoms in nervous system,respiratory system,digestive system and other non-cardiac symptoms may occure,which could easily result in misdiagnosis and mistreatment.Then,the diagnosis should based on combination of laboratory examination and electrocardiogram dynamic observation.Conclusion For the clinical diagnosis of patients with atypical acute myocardial infarction,clinical symptoms and electrocardiographic examination should be considered,if necessary,the myocardial enzyme spectrum should be detected,comprehensive analysis can effectively improve the correct diagnostic rate and successful treatment rate of patients with acute myocardial infarction.