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胸痛作为急性心肌梗塞(AMI)的首发症状,常使患者获得及时诊治。部分病例因起病、甚至整个病程中都无疼痛发生(无痛性心肌梗塞PLMI),临床十分棘手。本文通过25例PLMI与59例伴有胸痛的AMI(PMI)患者临床分析的比较,旨在提高PLMI的诊断意识。 1 病例选择 全部病例均系我院1978年4月～1989年3月住院患者。 AMI诊断标准符合《基准内科学》 数据统计处理:X~2及t检验。 2 资料及结果 性别:PLMI组男14例,女11例,男:女=1.3:l,PMI组男45例,女14例,男:女=3.2:1(P>0.05)。
Chest pain as the first symptom of acute myocardial infarction (AMI), often patients get timely diagnosis and treatment. Some cases due to onset, or even the entire course of the disease without pain (painless myocardial infarction PLMI), the clinical is very difficult. This article compares the clinical analysis of 25 PLMI patients with 59 AMI (PMI) patients with chest pain in order to improve the diagnosis of PLMI. 1 cases of all cases were selected in our hospital from April 1978 to March 1989 inpatients. AMI diagnostic criteria in line with “basic science” statistical data processing: X ~ 2 and t test. 2 Materials and Results Gender: There were 14 males and 11 females in the PLMI group. There were 45 males and 1.3 females in the PMI group, 14 males and 14 females, with a females of 3.2: 1 (P> 0.05).