论文部分内容阅读
六、鉴别诊断急性心肌梗塞早期,往往只有心前区疼痛,或有恶心呕吐,心电图显示轻微 ST、T 改变。因此,应与下列疾病鉴别。(一)冠心病心绞痛:发作常有劳累、情绪激动或饱餐等诱因。疼痛持续时间多为致分钟,休息或口含硝酸甘油可迅速缓解,不出现休克、低血压或心功能不全等症状。心电图仅有 ST 段压低或 T 波倒置,且时间短暂。实验室检查多属正常。(二)急性冠状动脉供血不足:疼痛较剧烈,持
Sixth, differential diagnosis Early acute myocardial infarction, often only the anterior pituitary pain, or nausea and vomiting, ECG showed mild ST, T changes. Therefore, the following diseases should be identified. (A) coronary heart disease angina: seizures often tired, emotional or full meal and other incentives. Most of the duration of pain caused by minutes, rest or mouth with nitroglycerin can be quickly relieved, no shock, hypotension or cardiac dysfunction and other symptoms. ECG only ST segment depression or T wave inversion, and the time is short. Laboratory tests are mostly normal. (B) acute coronary insufficiency: more severe pain, holding