论文部分内容阅读
目的:通过对无痛性急性心肌梗死患者的观察和分析,探讨无痛性急性心肌梗死临床特点,达到早诊断,早治疗,提高疗效。方法:对我院心内科2003年1月～2011年10月期间入院的无痛性急性心肌梗死(A组)92例进行临床分析,与同期诊治的有痛性急性心肌梗死(B组)446例进行比较。结果:2组年龄(x2=6.38,P<0.05)、就诊时间(t=29.18,P<0.05)及预后(X2=33.32,P<0.05)差异均有统计学意义;性别(x2=1.75,P>0.05)、既往史(x2=4.79,P>0.05)及就诊至确诊的时间(t=1.39,P>0.05)差异均无统计学意义。结论:掌握无痛性急性心肌梗死临床特点,早诊断,早治疗,以减少误诊率,降低死亡率,提高患者生活质量,远期降低医疗费用。
Objective: To investigate the clinical features of painless acute myocardial infarction (AMI) through the observation and analysis of patients with painless acute myocardial infarction, to achieve early diagnosis and early treatment and to improve the curative effect. Methods: Ninety-two cases of painless acute myocardial infarction (A group) admitted to our hospital from January 2003 to October 2011 were analyzed retrospectively and compared with 446 cases with painful acute myocardial infarction (group B) Example for comparison. Results: There was significant difference between the two groups in age (x2 = 6.38, P <0.05), treatment time (t = 29.18, P <0.05) and prognosis P> 0.05). There was no significant difference in the past history (x2 = 4.79, P> 0.05) and the time from diagnosis to treatment (t = 1.39, P> 0.05) Conclusion: Grasp the clinical features of painless acute myocardial infarction, early diagnosis and early treatment to reduce the misdiagnosis rate, reduce mortality and improve the quality of life of patients, reduce the medical costs in the long run.