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胸痛是急性心肌梗塞发病时的一个重要症状,无痛性心肌梗塞往往导致临床上漏诊,由于未能早期正确诊断及处理,无痛性心肌梗塞有较高的死亡率。本文收集我院1974年1月～1979年6月5年半内的急性无痛性心肌梗塞病15例,按发病时的临床表现分型,并示范部分病例。本组15例均符合下述诊断条件:(1)发病时无胸骨后、上腹部或心肌梗塞发病时常见放射部位的压榨感、疼痛感、翳闷感。(2)经心电图动态观察符合典型心肌梗塞经过和/或谷草转氨酶增高(本院正常值≤100金氏单位/100毫升血清),部分病例尚有乳酸脱氢酶增高(本院正常值≤300单位/100毫升血清),个别病例并经尸检证实。
Chest pain is an important symptom of acute myocardial infarction. Painless myocardial infarction often results in clinical missed diagnosis. Painless myocardial infarction has higher mortality due to failure to correctly diagnose and treat early. In this paper, 15 cases of acute painless myocardial infarction in our hospital from January 1974 to June 1979 were collected and classified according to the clinical manifestations at onset and some cases were demonstrated. The group of 15 patients were in line with the following diagnostic criteria: (1) onset of no sternal, upper abdominal or myocardial infarction incidence of common radiation site of the sense of squeezing, pain, feeling boredom. (2) The electrocardiogram dynamic observation conformed to the increase of typical myocardial infarction and / or aspartate aminotransferase (our hospital normal ≤ 100 gold units / 100 ml serum), in some cases there is increased lactate dehydrogenase (hospital normal ≤ 300 Unit / 100 ml serum), individual cases and confirmed by autopsy.