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急性心肌梗死(AMI)为心血管内科常见急症,发病急、变化大、卒死率高。临床诊断除根据病人典型症状外,主要依据心电图指导、诊断、分析与抢救。然而,有时一些特殊类型的病例也会出现误诊。现报道变异型心绞痛酷似急性心肌梗死1例。 患者男,67岁。突发中上腹疼痛伴大汗淋漓半小时,于1998年2月26日6时入院。查体:痛苦面容,神清,测血压未及,T:36.1℃,R:18次/min,HR:
Acute myocardial infarction (AMI) is a common emergency of cardiovascular medicine, acute onset, change, death rate. In addition to the clinical diagnosis of typical symptoms based on patients, mainly based on ECG guidance, diagnosis, analysis and rescue. However, some special types of cases sometimes misdiagnosed. It is reported that variant angina resembles acute myocardial infarction in 1 case. Patient male, 67 years old. Sudden abdominal pain with sweating dripping half an hour, at 6:00 on February 26, 1998 admitted. Physical examination: painful face, clear demeanor, blood pressure not yet measured, T: 36.1 ℃, R: 18 times / min, HR: