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目的探讨急性心肌梗死心电图诊断的临床价值。方法分析我院2005年6月至2010年6月收治初发82例急性心肌梗死患者临床特点及心电图变化。结果发病率男性大于女性,不典型心肌梗死25例。死亡8例,65岁以上的老年人7例。死于心源性休克2例、心力衰竭2例、恶性心律失常4例。结论对不典型急性心肌梗死心电图要进行动态观察分析其变化,必要时加做18导联心电图及心肌酶谱、肌钙蛋白检查。提高诊断率、降低死亡率。
Objective To investigate the clinical value of electrocardiogram in the diagnosis of acute myocardial infarction. Methods The clinical features and electrocardiogram changes of 82 patients with acute myocardial infarction admitted to our hospital from June 2005 to June 2010 were analyzed. Results The incidence of male than female, atypical myocardial infarction in 25 cases. 8 died, 7 elderly over 65 years old. 2 died of cardiogenic shock, 2 cases of heart failure, 4 cases of malignant arrhythmia. Conclusions The ECG of atypical acute myocardial infarction should be dynamically observed to analyze the changes, if necessary, add 18-lead ECG and myocardial enzymes, troponin examination. Improve the diagnostic rate, reduce mortality.