急诊胸痛伴ST段抬高心电图改变296例分析

目的：探讨心电图ST段抬高与急性胸痛患者临床特点的关系。方法：对296病人临床资料、全过程心电图、相关检查、治疗转归进行回顾性分析。结果：对胸痛伴ST段抬高患者的心电图改变，按病因分为急性冠状动脉综合征202例(占68．2％)与非急性冠状动脉综合征94例(占31．8％)两类。结论：胸痛伴心电图ST段抬高改变病因多样，并非急性冠状动脉综合征所特有，应及时、准确鉴别，以免误诊，对进一步指导治疗有重要意义。

The Analysis of Elevated ST-segment in 296 Patients with Chest Pain in Emergence

Objective: To explore the relationship between the elevated ST segment in EKG and the clinical characteristics with chest pain in emergency. Methods: The analysis had been performed in 296 patients of chest pain in emergency unit with the clinical histories, biochemical test results, clinical prognosis and EKG with elevated ST segment in all the treatment period. Result: The acute coronary syndrome (A.C.S) only could be diagnosis in 202 cases of chest pain patients accompanied with elevated ST segment in emergency, the percentage was 68.2%. The other 94 cases could not be diagnosis in A.C.S. The percentage was 31.8%. Conclusion: Chest pain with elevated ST segment in emergency cases could be presented in acute coronary syndrome, but also could be presented in patients with other causes. It will be very important in EKG diagnosis and clinical treatment exactly in emergency unit in time and to prevent from the wrong diagnosis and the prognosis aggravated.