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42例心肌梗死诊断过程中的体会
引用本文:吴玲云.42例心肌梗死诊断过程中的体会[J].黑龙江医学,2012,36(3):224-225.
作者姓名:吴玲云
作者单位:吴玲云 (江苏省如东县第二人民医院,江苏,如东,226403) ;
摘    要:目的总结心肌梗死患者临床表现的多样性,寻找减少心肌梗死患者误诊的方法,利于在第一时间内识别出该类患者,使患者得到最及时合理的治疗。方法对我院2007-01~2011-08间,收治的42例心肌梗死患者的临床表现进行回顾分析。结果患者主诉及表现多样化,初诊误诊率14.3%。结论基层医院需做到心电图检查常规化,尤其注意18导联检查及动态心电图观察,并及时行心肌酶谱检测,以防漏诊。

关 键 词:心肌梗死  无痛性心肌梗死  常规全导联心电图

In 42 Cases the Diagnosis of Myocarial Infarction Process Experience
WU Ling-yun.In 42 Cases the Diagnosis of Myocarial Infarction Process Experience[J].Heilongjiang Medical Journal,2012,36(3):224-225.
Authors:WU Ling-yun
Institution:WU Ling-yun(The Second People′s Hospital of Rudong County,Rudong 226403,CHINA)
Abstract:Objective To summarize the variety of clinical manifestations and to decrease misdiagnosis so that to find proper time and method to treat.Methods The clinical materials of 42 cases of such patient from January 2007 to August 2011 were analyzed.Results The variety of chief complain obtained misdiagnosis of 14.3%.Conclusion The routine ECG esp.18 lead and DCG as well as enzyme should be detected in clinic.
Keywords:Myocardial infarction  Painless myocard infarction  Routine lead ECG
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