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一、病例来源及诊断依据我院1960～1983年共收治急性心肌梗塞263例,其中发病前有典型心绞病者180例(68.4%),不典型心绞痛者23例(8.8%),无心绞痛者60例(22.8%)。诊断依据:心电图有典型心肌梗塞表现,并有谷草转氨酶、乳酸脱氢酶、磷酸肌酸激酶增高。无痛者:无任何胸痛主诉。典型心绞痛者:胸痛剧烈,持续半小时以上,含硝酸甘油不能缓解。不典型心绞痛者:胸痛较轻或有胸闷感,持续半小时以上。
First, the source of the case and diagnosis According to our hospital from 1960 to 1983 were treated a total of 263 cases of acute myocardial infarction, including onset of typical patients with typical ventricular fibrosis in 180 cases (68.4%), 23 cases of atypical angina (8.8%), no angina 60 cases (22.8%). Diagnosis is based on: ECG showed a typical myocardial infarction, and aspartate aminotransferase, lactate dehydrogenase, creatine phosphokinase increased. Painless: no complaints of chest pain. Typical angina: chest pain, sustained for more than half an hour, with nitroglycerin can not be alleviated. Atypical angina: chest pain or chest tightness, lasting more than half an hour.