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目的分析不典型和无痛性心肌梗死的临床表现,以减少误诊和漏诊的发生。方法将38例不典型和无痛性心肌梗死与同期住院的100例典型心肌梗死的一般资料、梗死部位、并发症相比较,并分析其首发症状。结果两组性别、职业差异无统计学意义(P>0.05),但年龄>60岁差异有统计学意义(P<0.05);梗死部位差异无统计学意义(P>0.05);前者心律失常、心力衰竭、休克发生率明显升高(P<0.05),且伴发糖尿病者明显高于后者。结论急性心肌梗死不典型表现给临床诊断造成一定困难,应进一步提高认识,减少误诊。
Objective To analyze the clinical manifestations of atypical and painless myocardial infarction in order to reduce the misdiagnosis and missed diagnosis. Methods A total of 38 cases of atypical and painless myocardial infarction were compared with the general data of 100 cases of typical myocardial infarction hospitalized in the same period, infarction site and complications, and the first symptom was analyzed. Results There was no significant difference in sex and occupation between the two groups (P> 0.05), but the difference was statistically significant (P <0.05) Heart failure, shock increased significantly (P <0.05), and associated with diabetes were significantly higher than the latter. Conclusions Atypical manifestation of acute myocardial infarction has caused some difficulties in clinical diagnosis. It is necessary to further raise awareness and reduce misdiagnosis.