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lao nian ren bu dian xing ji xing xin ji geng si 52 li lin chuang fen xi
Author(s): 
Pages: 1001-1002
Year: Issue:  8
Journal: Research of Traditional Chinese Medicine

Keyword:  老年人 心肌梗死 早期识别 肌酸激酶同工酶 肌钙蛋白 肌红蛋白;
Abstract: 目的探讨老年人不典型急性心肌梗死的临床特点及早期识别方法。方法回顾分析近3年来住院老年不典型急性心肌梗死患者52例,归纳其临床表现特点,容易漏诊和误诊原因,总结早期识别方法。结果本组52例中,无痛型18例,各种心律失常12例,异位疼痛型9例,麻痹性肠梗阻主要表现5例,呼吸困难表现4例,前列腺肥大尿潴留3例,休克肾衰1例。早期误诊32例,高危病例32例,转院行冠脉介入术(PCI)6例,静脉溶栓13例,死亡19例。结论老年人急性心肌梗死症状不典型多,高危因素多,并发症多。
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