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近年来,随着冠心病诊断技术的进展和老年人群的增长,发现缺乏胸骨后或心前区压榨性疼痛等典型表现的心肌梗塞病例日渐增多。其中,一部分患者发病时无明显疼痛,而以突然发生的急性心力衰竭、休克、晕厥、严重心律失常等为主要表现;另有少数是在慢性充血性心力衰竭、全身衰竭、肺炎、精神病等疾病的基础上或在手术中发生的,其疼痛症状常被
In recent years, with the progress of coronary heart disease diagnosis technology and the growth of the elderly population, there is an increasing number of cases of myocardial infarction lacking the typical manifestations of post-sternum or precordial pressure pain. Among them, some of the patients had no obvious pain during the onset of symptoms, but with sudden onset of acute heart failure, shock, fainting, severe arrhythmia as the main performance; while a few were in chronic congestive heart failure, systemic failure, pneumonia, psychosis and other diseases On the basis of or during surgery, the pain symptoms are often