急性非典型性心肌梗死的临床诊断与治疗

Clinical diagnosis and treatment of acute atypical myocardial infarction

目的总结急性非典型性心肌梗死的临床诊断及其急救治疗方法。方法对2010年12月～2012年12月本院收治的240例急性非典型性心肌梗死患者的临床治疗资料进行总结分析。结果 20例患者入院后出现误诊,误诊率为8.3%,其中,5例误诊为急性胃肠炎,10例误诊为急性胆囊炎,5例误诊为气胸;220例患者最终痊愈,18例患者明显好转,2例患者死亡,病死率为0.83%。结论早期的心电图以及快速的心肌酶谱检查是确定急性非典型性心肌梗死的关键,及时的治疗,能够明显降低死亡风险的发生,改善患者的预后,提高患者的治愈率。

Objective To summarize the clinical diagnosis of first-aid treatment of acute atypical myocardial infarc- tion. Methods The clinical data of 240 patients with acute atypical myocardial infarction admitted to our hospital from December 2010 to December 2012 were summarized and analyzed. Results Twenty patients were misdiagnosed after admission with misdiagnosis rate of 8.3%,of which 5 cases misdiagnosed as acute gastroenteritis, lO cases as acute cholecystitis,and 5 cases as pneumothorax.Finally,220 patients were cured,18 patients with significant improvement,and 2 patients died with mortality of 0.83%. Conclusion Early ECG and rapid myocardial enzymes inspection is the key to determine the atypical myocardial infarction.Timely treatment can significantly reduce the risk of death occurrence,im- prove prognosis and the cure rate of patients.