【摘要】 目的:分析老年人不典型急性心肌梗死的临床特征及治疗体会。方法:选取2005年6月～2009年6月本院收治的确诊为老年人不典型急性心肌梗死病例78例,回顾性研究其临床资料,分析老年人不典型急性心肌梗的误诊情况、临床特点、治疗方式及抢救成功率。结果:本组患者初次就诊时误诊26例(33.3%),疑诊者24例(30.8%),就诊时确诊者28例(35.9%),平均住院时间为2～3(2.3±0.7)周,70例(89.7%)患者顺利出院,急诊室死亡6例(7.7%),后期死亡2例(2.6%)。结论:老年人不典型急性心肌梗死首发症状变异明显,提高警惕才能防止诊断鉴别的局限性、片面性,提高诊断率,降低误诊发生的可能,为及时抢救创造条件。更多还原

【Abstract】 Objective:To analyze the clinical features and treatment experiences of typical acute myocardial infarction in old people.Methods:From June 2005 to June 2009,78 cases of typical acute myocardial infarction in old people were selected in our hospital,the clinical data,clinical characteristics and treatment of them were retrospectively studied.Results:26 cases (33.3%) were misdiagnosed when the first medical diagnosis performed in the group,24 cases (30.8%) were sus pected,28 cases (35.9%) were diagnosed when the first medical diagnosis performed in the group.The average length of hospitalization was 2～3 (2.3 ± 0.7) weeks,70 patients smoothly discharged,6 cases(7.7%) died.Conclusion:Significantly changes can be observed from typical acute myocardial infarction in old people,alerting should be used to prevent the lim itations and one-sidedness of differential diagnosis.更多还原