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目的探究老年人不典型急性急性心肌梗塞的临床特征与治疗。方法选取本院2015年4月~2016年8月收治的不典型急性心肌梗塞患者40例作为研究对象,回顾性分析患者一般资料,结合病情采取针对性治疗方法。结果本次研究收集的患者中,只有行PCI手术治疗1例,其余均给予扩张冠脉以及抗凝治疗,治疗时间为(25±8)d。治愈30例,好转6例,死亡4例,总有效率为90.0%。死亡患者4例,死于心源性休克1例,因严重心律失常死亡2例,因抢救无效死亡1例。结论不典型急性心肌梗塞临床表现模糊,容易出现漏诊或者误诊,需要联合心肌酶谱与心电图采取针对性治疗,才能降低死亡率。
Objective To investigate the clinical features and treatment of atypical acute acute myocardial infarction in the elderly. Methods Forty patients with atypical acute myocardial infarction who were treated in our hospital from April 2015 to August 2016 were selected as the research object. The general data of the patients were retrospectively analyzed, and the specific treatment was taken in combination with the condition. Results Of the patients collected in this study, only 1 patient underwent PCI and the rest were given coronary artery and anticoagulant therapy. The treatment time was (25 ± 8) d. 30 cases were cured, 6 cases improved, 4 cases died, the total effective rate was 90.0%. Four patients died, one died of cardiogenic shock, two died of severe arrhythmia, and one died of rescue failure. Conclusions The clinical manifestations of atypical acute myocardial infarction are vague and prone to missed diagnosis or misdiagnosis. Combined with myocardial enzymes and electrocardiogram, targeted therapy is needed to reduce the mortality rate.