老年人不典型急性心肌梗死临床分析10例

Clinical analysis of 10 cases of atypical acute myocardial infarction in the elderly

目的:探讨老年人不典型急性心肌梗死的临床特点。方法:收治老年人不典型急性心肌梗死患者10例,采用回顾性分析的方法分析归纳临床特点。结果:10例患者中无胸痛症状5例,异位疼痛5例;疼痛部位:上腹痛3例,脐上痛1例,肩背痛1例;心电图表现ST段抬高型急性心肌梗死8例,表现非ST段抬高型急性心肌梗死2例。WBC、红细胞沉降率(ESR)、空腹血糖略有升高。结论:呼吸困难、咳喘、胸闷、气促、乏力、心电图表现ST段抬高是老年人不典型急性心肌梗死主要特征,医护人员要增强责任心,熟悉并牢固掌握,及时作出正确诊断,减少漏诊或误诊。

Objective:To investigate the clinical characteristics of atypical acute myocardial infarction in the elderly.Methods:10 elderly patients with atypical acute myocardial infarction were selected,and their clinical characteristics were summarized by retrospective analysis.Results:5 of the 10 patients had no symptoms of chest pain,5 cases of ectopic pain,pain site:3 cases of upper abdominal pain,1 case of upper umbilical pain,1 case of shoulder back pain,8 cases of electrocardiogram showed ST segment elevation acute myocardial infarction,and 2 cases showed non-ST segment elevation acute myocardial infarction.WBC,erythrocyte sedimentation rate(ESR),and fasting blood sugar slightly increased.Conclusion:Dyspnea,cough,chest tightness,shortness of breath, fatigue,electrocardiogram expression shows ST segment elevation are the main features of atypical acute myocardial infarction in the elderly.Medical personnel should enhance responsibility,be familiar with and firmly grasp,make correct diagnosis in time, reduce missed diagnosis or misdiagnosis.