论文部分内容阅读
目的探讨急性心肌梗死患者不典型症状和临床诊治。方法回顾分析60例急性心肌梗死患者的临床资料。结果心前区不适伴咽痛、颈痛,劳累后加重19例;间断性胸闷,呼吸困难18例;腹部不适,呕吐11例;头痛、晕厥,脑供血不足9例;发热,乏力休克3例。结论急性心肌梗死患者不典型症状具有多样性,临床医师要给予足够重视,应不断动态追踪心电图改变及结合实验室检查包括心肌酶、肌钙蛋白。
Objective To investigate the atypical symptoms and clinical diagnosis and treatment of patients with acute myocardial infarction. Methods The clinical data of 60 patients with acute myocardial infarction were retrospectively analyzed. The results of precordial discomfort with sore throat, neck pain, increased after exertion in 19 cases; intermittent chest tightness, dyspnea in 18 cases; abdominal discomfort, vomiting in 11 cases; headache, syncope, cerebral insufficiency in 9 cases; fever, fatigue, shock in 3 cases . Conclusions Atypical symptoms in patients with acute myocardial infarction are diverse. Clinicians should pay enough attention to the changes of electrocardiogram and laboratory tests including myocardial enzymes and troponin.