| 张阿莲,胡靖超,许左隽,等.不典型症状急性心肌梗死 52例临床特点分析[J].安徽医药,2020,24(3):496-499. |
| 不典型症状急性心肌梗死 52例临床特点分析 |
| Analysis of clinical features of 52 patients with atypical symptoms of acute myocardial infarction |
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| DOI：10.3969/j.issn.1009?6469.2020.03.019 |
| 中文关键词: 心肌梗死 胸痛 心力衰竭 心钠素 心电描记术 不典型症状 临床特点 |
| 英文关键词: Myocardial infarction Chest pain Heart failure Atrial natriuretic factor Electrocardiography Untypical symptom Clinical features |
| 基金项目:国家自然科学基金项目(81770505) |
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| 中文摘要: |
| 目的对不典型症状急性心肌梗死和典型胸痛急性心肌梗死病人的临床特征以及治疗和预后进行观察。方法回顾性选择 2016年 6月至 2018年 5月上海交通大学医学院附属第九人民医院收治的急性心肌梗死病人共 202例，其中不典型症状心肌梗死 52例，有典型胸痛心肌梗死 150例，对两组病人进行临床特征观察比较。结果与典型胸痛急性心肌梗死组比较，不典型症状急性心肌梗死组发病年龄较大［(75.6±13.2)岁比( 65.2±12.1)岁， P＜0.05］女性( 28.8%比 18.7%，P＜0.05)及伴有糖尿病( 48.1%比 24.7%，P＜0.05)病人比例更高。其中非 ST段抬高型心肌梗死病人比，例较典型胸痛组高( 46.2%比 20.7%，P＜ 0.05)。不典型症状心肌梗死病人组院前延误时间较长［(380±46)min比( 240±21)min，P＜0.05］在到达医院后确诊时间延长［(125±23)min比( 20±5)min，P＜0.05］，接受急诊再灌注治疗者比率低( 38.5%比 70.6%，P＜0.05)。，不典型症状心肌梗死病人住院期间 B型钠尿肽水平更高［(501±102)pg/mL比( 305±83)pg/mL，P＜0.05］心超测得射血分数较低［(43.6±7.2)%比( 48.2± 6.8)%，P＜0.05］发生心力衰竭( 30.8%比 15.3%，P＜0.05)及心源性休克( 9.65.3%，P＜0.05)比例高。同时住院期间死亡%比，率( 15.4%比 6.7%，P，＜0.05)较典型胸痛组高。结论不典型症状急性心肌梗死病人较典型胸痛心肌梗死病人年龄大，并发症多，就诊延迟，预后较差。 |
| 英文摘要: |
| Objective To observe the clinical features，treatment and prognosis of acute myocardial infarction patients with typical or atypical chest pain.Methods 202 patients with acute myocardial infarction admitted to The Ninth People’s Hospital Affiliated to Shanghai Jiaotong University School of Medicine from June 2016 to May 2018 were enrolled，including 52 patients with atypicalchest pain and 150 patients with typical chest pain.The clinical data were compared between those two groups.Results Comparedwith the typical myocardial infarction group with typical chest pain，the average age of onset of atypical symptoms in the acute myo? cardial infarction group was larger［( 75.6±13.2)vs.(65.2±12.1)，P＜0.05］，and there were more women(28.8% vs. 18.7%，P＜ 0.05) |
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