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急性心肌梗塞(以下简称心梗)是严重威胁人们生命的心血管系统中的急症,是心肌缺血性坏死。严重而持久的急性缺血致胸骨后剧烈疼痛,发热,白细胞计数和血清心肌酶增高,以及心电图进行性改变,可发生心律失常、休克、心力衰竭。这是典型性急性心肌梗塞的症状,易被人重视。而以下几种不典型急性心梗易被病人忽视及医生的误诊。1、仅以胸闷不适为主要表现(无痛性心肌梗塞)。当老年人出现难以解释的胸闷不适时,应及时到医院做心电图。
Acute myocardial infarction (hereinafter referred to as myocardial infarction) is a serious threat to people’s lives in the cardiovascular system of emergency, is myocardial ischemic necrosis. Severe and lasting acute ischemic chest pain caused by severe pain, fever, white blood cell count and serum myocardial enzymes increased, and ECG changes can occur arrhythmia, shock, heart failure. This is a typical symptom of acute myocardial infarction, easily overlooked. The following types of atypical acute myocardial infarction patients easily overlooked and misdiagnosed. 1, only chest discomfort as the main performance (painless myocardial infarction). When the elderly appear difficult to explain the chest tightness, it should promptly to the hospital to do ECG.