非典型急性心肌梗死的临床特点(附30例分析)

Clinical characteristics of nontypical acute myocardial infarction

目的 :探讨非典型急性心肌梗死的临床特点。方法 :对 30例非典型急性心肌梗死患者进行临床分析并随机与30例典型急性心肌梗死患者进行对比观察。结果 :和典型急性心肌梗死相比 ,非典型急件心肌梗死泵衰竭作为首发病状增多 (6 6 .3% ,P<0 .0 1) ,并发心源性休克者显著增多 (P<0 .0 5 ) ,多伴有糖尿病 (2 6 .7%∶ 6 ,7% ,P<0 .0 5 ) ,以老年人多见 ,病死率明显增高 (P<0 .0 5 )。结论 :结果说明非典型急性心肌梗死病情很严重 ,必须积极而又慎重地进行处理。

Objective:To study the clinical characteristics of nontypical acute myocardial infarction(AMI).Methods:Thirty cases of nontypical AMI were analysed and compared with 30 cases of typical AMI.Results:Compared with typical AMI group,power failure(take for symptom of first onset) significantly increased(663%,P<001),cardiac shock significantly increased(P<005),patients complicated diabetic mellitus striking increased(P<005),elderly patients significantly increased and fatality rate striking increased(P<005) in nontypical AMI group.Conclusion:Results indicate that condition of patients with nontypical AMI is very severe;its treatment must be energetic and careful.