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临床上急性心肌梗塞典型病例诊断并不棘手,但对不典型者误诊常有之。本文通过4侧不同类型的急性心肌梗塞早期临床表现,提出早期诊断的一些线索,从中获得早期诊断的经验与教训。例1,原有心纹痛,以后再次心绞痛发作,由于没有进一步检查及临床观察,以致三个月后发现为陈旧性心肌梗塞。例2,病人有胸骨后压榨性疼痛,由于心电图正常未考虑
Typical cases of acute myocardial infarction clinical diagnosis is not difficult, but often atypical misdiagnosis. Based on the early clinical manifestations of 4 different types of acute myocardial infarction, this paper puts forward some clues to early diagnosis and obtains the experience and lessons of early diagnosis. Example 1, the original heart-shaped pain, angina pectoris attack again, because there is no further examination and clinical observation, resulting in three months after the discovery of old myocardial infarction. Example 2, the patient has sternal pain after the press, due to normal ECG was not considered