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目的探讨无痛性非典型心肌梗死的多种临床特点及诊断方法。方法对临床工作中收集的106例心肌梗死病例就诊过程进行追溯分析。结果 41例非典型心肌梗死患者,误诊15例;病情好转26例,且症状明显缓解;2周内由于抢救无效的,病死13例。结论分析非典型心肌梗死的病征、年龄因素、心电图及心肌酶学应引起足够的重视,并及时进行诊断、治疗。
Objective To investigate the various clinical features and diagnostic methods of painless atypical myocardial infarction. Methods A retrospective analysis of 106 cases of myocardial infarction cases collected during clinical work was conducted. Results Of 41 patients with atypical myocardial infarction, 15 were misdiagnosed, 26 were improved, and their symptoms were relieved. In 2 weeks, 13 patients died of disease due to ineffective rescue. Conclusion Analysis of atypical myocardial infarction symptoms, age, electrocardiogram and myocardial enzymes should be given enough attention, and timely diagnosis and treatment.