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时间:2017-11-13
《医药学临床医学毕业论文 门诊心电图诊断急性心肌梗死患者的临床分析》由会员上传分享,免费在线阅读,更多相关内容在学术论文-天天文库。
1、湖南师范大学本科毕业论文考籍号:XXXXXXXXX姓名:XXX专业:医药学临床医学论文题目:门诊心电图诊断急性心肌梗死患者的临床分析指导老师:XXX二〇一一年十二月十日湖南师范大学本科毕业论文考籍号:XXXXXXXXX姓名:XXX专业:医药学临床医学论文题目:门诊心电图诊断急性心肌梗死患者的临床分析指导老师:XXX二〇一一年十二月十日[摘要]目的:总结门诊心电图诊断不典型急性心肌梗死患者的资料,发现其中的特殊性和规律,提高临床医生对这类患者的认识,以免延误治疗时机。方法:收集门诊心电图室发现的51例急性心肌梗死患者的临床资料,包括临床病史、心电图
2、、心肌酶谱、心脏彩超、冠脉造影,进行统计分析。结果:51例心肌梗死患者胸痛症状不典型,表现为胸痛、胸闷、头晕、恶心41例,到心内科就医;头痛、头晕3例,到神经内科就医;腹部不适、恶心、呕吐3例,到消化内科就医;胸闷、憋气、头痛4例,到中医科就医。从胸痛至就诊时间3d~7d。门诊心电图发现:下壁心肌梗死17例,下后壁合并右室心肌梗死7例,前壁心肌梗死11例,前间壁心肌梗死8例,非Q波心肌梗死8例。冠脉造影结果示左前降支(LAD)11例,左回旋支(LCX+LAD)14例,右冠状动脉(RCA+LAD+LCX)16例。结论:不典型心肌梗死的患者除胸痛、胸
3、闷外,可表现为头痛、腹痛、咽部不适、恶心、呕吐等,临床医生应提高警惕,及时做心电图、血清酶等检查,及时发现和诊断出不典型心肌梗死。 [关键词]不典型心肌梗死;心电图;侧支循环;冠脉造影 AnalysisoftheClinicalintheAcuteMyocardialInfaretionPatientsDiagnosedbytheClinicElectrocardiogram Abstracts:ObjectiveTofindthespecificityandrulesfromsummarizingdataoftheacutemyocard
4、ialinfarctionpatientsdiagnosedbytheclinicelectrocardiograminordertoenhanceclinicianvigilanceandavoidmissingtheoptimaltimeoftreatment.MethodsTocollectandanalyzeclinicaldataof51acutemyocardialinfarctionpatientsdiagnosedfirstlybytheclinicelectrocardiogramintheoutpatientclinic,i
5、ncludinghistory,electrocardiogram,myocardialcreatase,coronaryangiography.ResultsFortyonepatientswhohadchestpainandchestdistressvisitedcardiologydepartment;3whotookheadacheanddizzinessvisitedneurologicaldepartment;3whohadabdominaldiscomfortnauseaandvomitingvisiteddigestivedep
6、artment;and4whohadchestdistressandshortofbreathvisitedtraditionalChinesemedicinedepartment.Therewereabout3to7daysfromdisplayingchestpaintoseeingadoctor.Therewere17patientswithinferiormyocardialinfarction,7withinferiorposteriorandrightventriclemyocardialinfarction,11withanter
7、iormyocardialinfarction,8withanteriorinteriormyocardialinfarctionand8patientswithnonQwaveinfarctiondiagnosedfirstlybytheclinicelectrocardiogram.TheresultsofcoronaryangiographyshowedthattheIRA(infarctionrelatedartery)wereLAD(11patients),LAD+LCX(14patients),LAD+LCX+RCA(16pati
8、ents).ConclusionAcutemyocardialinfarctionmightdisplayheadache,abdomi
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