摘要
目的:分析不典型心肌梗死的临床表现,探讨有效的鉴别方法。方法:以本院收治的46例不典型心肌梗死患者为观察组,另46例典型心肌梗死患者为对照组,比较其一般资料、临床症状、心电图、误诊情况、危险因素、并发症及死亡率等。结果:观察组患者临床表现不具典型性,心电图改变不典型;观察组患者误诊率、并发症发生率、死亡率以及不良反应发生率均明显高于对照组(P<0.05)。结论:不典型性心肌梗死临床表现无特异性,诊断时要通过严密观察其体征、辅助心电图变化和血清酶学检查等多种手段来确诊,以提高临床治愈率。
Objective：To analyze the clinical manifestations of atypical myocardial infarction and explore effective methods of identification.Method：46 cases of atypical myocardial infarction patients admitted to our hospital as the observation group,another 46 cases of typical myocardial infarction patients admitted to our hospital as the control group.The general data,clinical symptoms,ECG,misdiagnosis,risk factors,morbidity and mortality and so on of two groups were compared.Result：Patients in clinical manifestation of observation group was not typical,ECG changes were not typical;The rate of misdiagnosis,diabetes pulation,incidence of complications mortality and adverse effects rate of patients in the observation group were significantly higher than the control group（P〈0.05）.Conclusion：The clinical manifestations of atypical myocardial infarction are not specific.In order to improve the clinical cure rate,close observation of patients’signs combined with ECG changes inspection,serum enzymes inspection and other methods is necessary to make a definite diagnosis during the diagnosis.
出处
《中外医学研究》
2014年第14期128-129,共2页
CHINESE AND FOREIGN MEDICAL RESEARCH
关键词
不典型心肌梗死
临床表现
鉴别
Atypical myocardial infarction
Clinical manifestation
Identification
