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典型急性心肌梗塞(AMI)患者具有压榨样、窒息性胸痛或胸闷、呼吸困难等症状,已为广大临床医师所熟悉。而症状不典型AMI患者由于各种原因可能缺乏上述症状,临床上极易造成误诊或漏诊。本文就我院近几年间收治的42例症状不典型AMI病人的临床资料进行分析,浅谈治疗体会。1、临床资料 我院自1991年7月—1998年4月份共收治AMI126人,皆通过心电图和心肌酶确诊,其中有典型心绞痛者84例占AMI的66.7％,男78例,女6例,年龄44—68岁,平均57.6岁,死亡8人,病死率10.2％。
Patients with typical acute myocardial infarction (AMI) have a sample of pressed, asphyxia chest pain or chest tightness, breathing difficulties and other symptoms, the majority of clinicians are familiar with. The symptoms of atypical AMI patients due to various reasons may lack the above symptoms, clinically very easy to cause misdiagnosis or missed diagnosis. This article on the hospital in recent years, 42 cases of atypical AMI patients treated with clinical data analysis, talk about the treatment experience. 1, clinical data in our hospital since July 1991-April 1998 were treated AMI126 were diagnosed by ECG and myocardial enzymes, of which 84 cases of typical angina accounts for 66.7% of AMI, 78 males and 6 females, Aged 44-68 years old, with an average of 57.6 years old, 8 people were killed, the case fatality rate was 10.2%.