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目的探讨不典型急性心肌梗死临床特征和诊断。方法回顾2005年1月至2008年12月我科收治的不典型急性心肌梗患者45例临床资料进行总结和分析。结果15例成功溶栓,5例中2例室壁瘤形成,3例ST段2周后回到等位线,临床治愈31例(68.9%)死亡14例(31.1%)。结论通过本组病例进行总结分析,可以看出不典型急性心肌梗具有年龄大、隐匿性强,临床症状多样化及体征不典型、死亡率高等特征,只要临床能够充分认识本病的临床特征和发病特点,能够提高不典型急性心肌梗诊断率减少误诊。
Objective To investigate the clinical features and diagnosis of atypical acute myocardial infarction. Methods The clinical data of 45 patients with atypical acute myocardial infarction admitted from January 2005 to December 2008 in our department were reviewed and analyzed. Results Thrombolysis was successful in 15 cases, 2 cases of aneurysm in 2 of 5 cases, 3 cases in ST segment returned to the equipotential line after 2 weeks. 31 cases (31.9%) died of clinical cure in 31 cases (68.9%). Conclusions Through the analysis of the group of patients, we can see that atypical acute myocardial infarction with the characteristics of age, occult strong, clinical symptoms and signs of atypical, high mortality, as long as the clinical can fully understand the clinical features of the disease and Incidence, can improve atypical acute myocardial infarction diagnosis rate to reduce misdiagnosis.