症状不典型急性心肌梗死患者院前急救与误诊探讨.docVIP

精品论文 参考文献 症状不典型急性心肌梗死患者院前急救与误诊探讨 宁阳县堽城镇中心卫生院急诊科 山东 泰安271416 【摘要】目的：本文对症状不典型急性心肌梗死患者的特殊性进行分析，对误诊的原因以及方法进行探讨，从而提高疾病的确诊率。方法：选取2011年3月~2014年3月期间所收治的急性心肌梗死患者共126例，并选取其中症状不典型的急性心肌梗死患者62例，对62例的临床资料进行回顾性分析，分别从患者的性别、年龄以及检查结果进行探讨。结果：急性心肌梗死患者中有部分存在症状不典型性，误诊发生的几率极大。结论：在对急性心肌梗死患者进行治疗的过程中，主治医师需要详细掌握症状不典型性的相关反应，以降低确诊失误率，从而提高患者及家属的满意度。 【关键词】急性心肌梗死；症状不典型；院前急救；误诊 【中图分类号】R698.1【文献标识码】A【文章编号】1001-5213(2016)09-0004-01 Pre hospital first aid and misdiagnosis of patients with atypical acute myocardial infarction Suncheng Shandong City, Taian province Ningyang County Gang Town Center Hospital, emergency department 271416 [Abstract] Objective: to analyze the special characteristics of the patients with atypical acute myocardial infarction, and to explore the causes and methods of misdiagnosis, so as to improve the diagnostic rate of the disease. Methods in 2011 March 2014 March were during acute myocardial infarction in patients with a total of 126 cases, and select the symptom is not typical of patients with acute myocardial infarction in 62 cases, were retrospectively analyzed the clinical data of 62 cases, respectively from the patients with sex, age and examination results are discussed. Results: there were some atypical symptoms in patients with acute myocardial infarction, and the incidence of misdiagnosis was very high. Conclusion: in treatment of the patients with acute myocardial infarction (AMI), physician need detailed knowledge of the symptoms are not typical of the reaction, in order to reduce the fault rate of diagnosis, so as to improve the satisfaction of patients and their families. [Key words] acute myocardial infarction; symptoms not typical; pre hospital first aid; Misdiagnosis 对于急性心肌梗死的发病原因进行相关研究，表明为人体中心肌血液供给困难、冠状动脉粥样硬化所造成的，近几年来[1]，急性心肌梗死的病发率呈逐年增多的态势，且作为冠心病的一种常见种类之一，急性心肌梗死的病发极易危害患者的生命，病症的发生也十分突然，因此,如何有效的治疗心肌梗死，成为当前医学研究者亟待解决的问题。另外，有一部分的心肌梗死患者会存在不典型症状，且部分医师对急性心肌梗死的诊断过于片面化，造成误诊率的增大，针对于此本文将分析不典型症状急性心肌梗死的误诊原因，并给出合理对策。 1