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目的:研究分析急性心肌梗死患者的临床急救方式,对患者的心电图诊断资料进行总结归纳,寻找患者的临床特点,增加抢救成功率。方法:根据我院的51例急性心肌梗死患者的临床治疗资料来进行研究分析,询问患者的病史,收集患者临床心电图资料、心脏彩超、冠脉造影等结果。结果:51例心肌梗死患者胸痛症状不典型,表现为胸痛、胸闷、头晕、恶心41例,到心内科就医;头痛、头晕3例,到神经内科就医;腹部不适、恶心、呕吐3例,到消化内科就医;胸闷、憋气、头痛4例,到中医科就医。从胸痛至就诊时间3 d~7 d。门诊心电图发现:下壁心肌梗死17例,下后壁合并右室心肌梗死7例,前壁心肌梗死11例,前间壁心肌梗死8例,非Q波心肌梗死8例。冠脉造影结果示左前降支(LAD)11例,左回旋支(LCX+LAD)14例,右冠状动脉(RCA+LAD+LCX)16例。结论:临床中急性心肌梗死患者有胸痛、胸闷、恶心、腹痛、头痛等症状,医生应该对患者的典型和不典型症状给予了解,当患者出现这些症状时,能够为患者进行心电图、血清酶等检查,为患者进行诊断,挽救患者的生命。
OBJECTIVE: To study and analyze the clinical emergency methods of patients with acute myocardial infarction, to summarize the ECG diagnostic data of patients, to find the clinical features of patients and to increase the success rate of rescue. Methods: Based on the clinical data of 51 patients with acute myocardial infarction in our hospital, the patients were asked about their medical history, and the clinical ECG data, cardiac echocardiography and coronary angiography were collected. Results: 51 cases of myocardial infarction patients with atypical chest pain, manifested as chest pain, chest tightness, dizziness, nausea in 41 cases, to the Department of Cardiology medical treatment; headache, dizziness in 3 cases, to neurology medical treatment; abdominal discomfort, nausea, vomiting in 3 cases, Gastroenterology medical treatment; chest tightness, suffocation, headache in 4 cases, to the Chinese medicine for medical treatment. From chest pain to treatment time 3 d ~ 7 d. Outpatient ECG found 17 cases of inferior myocardial infarction, 7 cases of inferior posterior wall with right ventricular myocardial infarction, 11 cases of anterior myocardial infarction, 8 cases of anterior myocardial infarction and 8 cases of non-Q wave myocardial infarction. Coronary angiography showed 11 cases of left anterior descending artery (LAD), 14 cases of LCX + LAD and 16 cases of right coronary artery (RCA + LAD + LCX). Conclusions: Patients with acute myocardial infarction in clinic have chest pain, chest tightness, nausea, abdominal pain, headache and other symptoms. Doctors should understand the typical and atypical symptoms of patients. When these symptoms occur, patients can get ECG, serum enzymes, etc. Check, diagnose for the patient, save the patient’s life.