| 胸痛伴ST段抬高的疑似心肌梗死患者的临床分析 |
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| 引用本文： | 钟伟,龚武田,羊富彬,李家富. 胸痛伴ST段抬高的疑似心肌梗死患者的临床分析[J]. 泸州医学院学报, 2010, 33(5): 517-519 |
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| 作者姓名： | 钟伟 龚武田 羊富彬 李家富 |
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| 作者单位： | 泸州医学院附属医院心血管内科,四川泸州,646000 |
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| 摘 要： | 目的：探讨胸痛伴ST段抬高的疑似心肌梗死患者的临床特征,以减少误诊误治。方法：分析48例胸痛伴ST段抬高的疑似心肌梗死患者临床特点及心电图变化。结果：胸痛伴ST段抬高的疑似心肌梗死患者多见于急性心包炎及病毒性心肌炎、冠状动脉缺血性改变、主动脉夹层等共有10例被误诊为急性心肌梗死。结论：多种疾病可引起胸痛同时伴有ST段抬高,易误诊为急性心肌梗死,临床诊疗中须仔细鉴别。
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| 关 键 词： | 疑似心肌梗死 胸痛 ST段抬高 临床分析 |
CLINICAL ANALYSIS OF SUSPECTED MYOCARDIAL INFARICTON PATIENTS WITH CHEST PAIN AND ST-SEGMENT ELEVATION |
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| Affiliation: | Zhong Wei,et al( Department of Cardiology, the Affiliated Hospital of Luzhou Medical College) |
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| Abstract: | Objective：To study the clinical characteristics of suspected myocardial infarction patients,in or-der to reduce misdiagnosis and mistreatment.Methods：Clinical features and ECG changes were aualyzed in 48 cases of suspected myocardial infarction.Results：These suspected patients were common in acute pericarditis,i-ral myocarditis,coronary ischemic changes,and aortic dissection,altogether 10 cases were misdiagnosed as acute myocardial infarction.Conclusion：Variety of diseases can cause chest pain accompanied by ST-segment eleva-tion,often misdiagnosed as acute myocardial infarction,clinical diagnosis and treatment showld be carefully iden-tified. |
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| Keywords: | Suspected myocardial infarction Chest pain ST-segment elevation Clinical analysis |
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