眼科以咽部瘙痒为首发症状的心肌梗死1 例- 附文献复习

目的:提高异位疼痛为首发症状心肌梗死的临床警惕性与确诊率。方法:通过我院不典型心肌梗死病例1例就诊过程进行回顾性追溯分析,进行相关文献复习,总结提高诊断准确性,减少误诊的经验方法。结果:因诊断及时,患者经积极的抢救治疗,症状改善,治愈出院。结论:提高对异位疼痛为首发症状心肌梗死的警惕,拓宽诊断思维,全面体检,尤其注意心电图:动态心电图、心肌酶谱的监测,及时确诊,以尽量减少不典型心肌梗死的误诊。

Eye Itching in the Throat as the First Symptom of Myocardial Infarction in 1 Case- Review of Literature

Objective: To improve the clinical vigilance and diagnose rate of myocardial infarction with ectopic pain as first symptom.Methods: Retrospectively analyzed one atypical case of myocardial infarction in our hospital,reviewed related literature,summarized the process of diagnosis of myocardial infarction,especially in atypical myocardial infarction.Results: Due to the timely correct diagnose,the patient was saved after active treatment,and discharged from hospital after symptom were improved.Conclusion: Improving the clinical vigilance for myocardial infarction with ectopic pain as first symptom,broadening diagnostic thinking,taking comprehensive physical ex-amination,especially paying attention to ECG.Electrocardiogram and myocardial enzymes monitor,could minimize the misdiagnosis of atypical myocardial infarction