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目的分析研究不典型性急性心肌梗死(AMI)患者的病因病机、早期诊断和治疗的临床意义。方法根据不典型性AMI患者的不同临床症状及其发病机制,相关辅助检查,作出早期诊断和治疗,并加以分析。结果本组38例,治愈32例,死亡1例。结论①基本病因病机是冠状动脉硬化(偶为冠状动脉栓塞、炎症,先天性畸形、痉挛和冠状动脉口阻塞所致)[1];②症状不典型的AMI患者易被误诊为其他疾病而延误治疗。需高度重视,尽快做出诊断,并给予相应的治疗对策,降低死亡率,提高治愈率。
Objective To analyze the clinical significance of etiology, pathogenesis, early diagnosis and treatment of patients with atypical acute myocardial infarction (AMI). Methods According to different clinical symptoms of atypical AMI patients and their pathogenesis, related auxiliary examination, make early diagnosis and treatment, and analyze. Results The group of 38 cases, 32 cases were cured, 1 died. Conclusions ① The underlying etiology and pathogenesis is coronary atherosclerosis (occasionally caused by coronary artery embolism, inflammation, congenital malformation, spasm and coronary artery occlusion); ② AMI patients with atypical symptoms are easily misdiagnosed as other diseases Delay treatment. Should attach great importance to make diagnosis as soon as possible and give appropriate treatment strategies to reduce mortality and improve the cure rate.