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急性心肌梗塞的早期诊断急性心肌梗塞早期,心肌电与功能均处于不稳定状态,易发生突然变化甚至猝死,故早期诊断关系到患者能否得到及时的救治与恢复。基层医务人员应提高警惕,熟悉其临床表现、心电图与酶的变化。在临床表现上,首先应注意先兆症状,如新发或加重的心绞痛、胸部闷压感或烧灼感等。急性心肌梗塞多以剧烈胸痛发病,伴大汗、憋气、烦躁或劳倦。应重视不典型表现,如咽部发紧、牙、颈、臂、肩部疼痛及上腹痛、恶心,呕吐等。部分患者
Early diagnosis of acute myocardial infarction Early acute myocardial infarction, cardiac electrical and functional instability, prone to sudden changes or even sudden death, so the early diagnosis of patients with timely treatment and recovery. Grassroots medical staff should be vigilant, familiar with the clinical manifestations, ECG and enzyme changes. In clinical manifestations, the first should pay attention to aura symptoms, such as new or exacerbated angina, chest pressure feeling or burning sensation. Acute myocardial infarction and more severe chest pain, with sweating, suffocation, irritability or fatigue. Should pay attention to atypical manifestations, such as throat tightness, teeth, neck, arm, shoulder pain and upper abdominal pain, nausea, vomiting and so on. Some patients