不典型心肌梗死52例临床特点及防范措施
The Journal of Medical Theory and Practice(2011)
Abstract
目的:提高临床医生对不典型心肌梗死的认识。方法:分析52例不典型心肌梗死患者的临床资料,探讨误诊、漏诊原因。结果:52例心梗患者均无典型胸痛,首发症状以心悸、头晕、胸闷、腹痛、恶心、出汗、臂痛等为主,梗死部位以前壁、下壁、心内膜下心梗为主。所有病例最后均有心肌酶、肌钙蛋白及心电图特征性改变证实。结论:不典型心肌梗死临床表现多样化,临床医生要提高警惕,对可疑病例及时行相关检查,明确诊断。
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