典型急性心肌梗死具有典型胸骨后或心前区持续剧烈的疼痛,心电图典型改变及心肌酶学(CK、CK-MB)升高,诊断不困难,但对症状不典型、心电图初发不典型及心肌酶学升高不明显的早期病例,延误诊断亦非罕见,及时的诊断及正确合理的治疗已成为心脏内科医师必须掌握的内容,本文结合2006 Typical acute myocardial infarction with a typical post-suprasternal or precordial area sustained severe pain, typical ECG changes and myocardial enzymes (CK, CK-MB) increased, the diagnosis is not difficult, but atypical symptoms, atypical initial ECG and It is not uncommon for delayed diagnosis to diagnose early cases of myocardial enzymology increase, but timely diagnosis and proper treatment have become the content that cardiologists must master. This article combined with 2006