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典型的心肌梗塞易于诊断,但那些临床表现不典型病例则易误诊,我们曾遇二例,现报告如下。例1 男,68岁。于1984年7月14日夜间突然呃逆起病,不能入睡伴有恶心,无吐,次日经某诊所诊为“胃病”,服镇静剂、肌注冬眠灵、654—2及针灸等,治疗二天无效,呃逆呈持续性,难忍受,疲劳乏力而来院就诊。查体:T37℃,P100次,R18次,BP170/100mmHg。痛苦病容,精神不振,神志清,频繁呃逆,两肺正常,心界稍向左扩大,节律不整,偶可闻及早搏,心率100次,腹软无压痛,肝脾未触
Typical myocardial infarction is easy to diagnose, but those with atypical clinical manifestations are often misdiagnosed, we have encountered two cases, are as follows. Example 1 male, 68 years old. On the night of July 14, 1984 suddenly hiccups onset, can not fall asleep accompanied by nausea, vomiting, the next day by a clinic diagnosed as “stomach”, serving sedatives, intramuscular injection of winter sleep spirit, 654-2 and acupuncture and so on, for two days Invalid, hiccups were persistent, unbearable fatigue from fatigue hospital. Physical examination: T37 ℃, P100 times, R18 times, BP170 / 100mmHg. Painful, sluggish, delirious, frequent hiccups, both lungs normal, heart slightly expanded to the left, irregular rhythm, even smell and premature beats, heart rate 100 times, abdominal soft no tenderness, liver and spleen not touch