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目的对急性心肌梗死病例作临床分析。方法对本院2003～2007年收治的92例急性心肌梗死患者作回顾性分析。结果61例以胸痛为首发症状,19例以异位疼痛为首发症状;5例首发为心源性休克、严重心律失常、2例为心力衰竭。均有心电图、心肌酶学动态变化,死亡5例(5.43%);五年存活76例(82.61%)。结论采用对症治疗加强监护,可降低患者的死亡率。
Objective To analyze the clinical cases of acute myocardial infarction. Methods A retrospective analysis of 92 patients with acute myocardial infarction admitted from 2003 to 2007 in our hospital. Results 61 cases of chest pain as the first symptom, 19 cases of ectopic pain as the first symptom; 5 cases of cardiogenic shock, severe arrhythmia, 2 cases of heart failure. All patients had electrocardiogram (ECG) and myocardial enzymology. Five patients died (5.43%) and 76 patients (82.61%) survived five years. Conclusions Intensive care with symptomatic treatment can reduce the patient’s mortality rate.