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急性心肌梗塞是严重威胁患者健康和生命的疾病,绝大多数由于冠状动脉粥样硬化所致。因为心肌梗塞的部位、范围、程度和发病前心功能等的不同,临床和心电图的表现,亦有明显的差别。典型病例易于诊断,不典型病例,有时颇难诊断,致使误诊或漏诊,耽搁治疗而造成不良的后果。因此,加深对不典型表现的认识,对于提高诊断的准确率和抢救的成功率是十分重要的。本文报告不典型急性心梗10例,并结合文献作一些讨论。
Acute myocardial infarction is a serious threat to the health and lives of patients, the vast majority due to coronary atherosclerosis. Because of the location of myocardial infarction, extent, extent and pre-morbid heart function, clinical and ECG performance, there are significant differences. Typical cases are easy to diagnose, atypical cases, sometimes quite difficult to diagnose, resulting in misdiagnosis or missed diagnosis, delay the treatment and cause adverse consequences. Therefore, to deepen the understanding of atypical manifestations is very important for improving the diagnostic accuracy and the success rate of rescue. This article reports 10 cases of atypical acute myocardial infarction, combined with the literature for some discussion.