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本文对急诊 AMI248例(GⅠ)与非 AMI 心血管急诊156例(GⅡ),包括 UAP 及 OMI122、充血型心肌病4,肥厚型心肌病6,心肌炎5,心包炎6。肺栓塞5,夹层动脉瘤8,用积分法做判别分析。对有 AMI 典型症状,ECG 及酶学阳性者各积2分,有不典型 AMI 症状、ECG 及酶学可疑阳性各积1分,无 AMI 症状,ECG 及酶学阴性积0分,结果积≥4分者172例,敏感率69.35%,特异率100%,积≥3分者235例,敏感率94.76%,特异率98.08%。本法从几个侧面以定量确切反映病情,对 AMI 急诊诊断与鉴别诊断具良好实用价值。文中并讨论了对 AMI急诊病例使用积分法应注意的问题。
In this paper, 156 emergency cases (GⅠ) and non-AMI cardiovascular emergency cases (GⅡ) were enrolled in this study, including UAP and OMI122, congestive cardiomyopathy4, hypertrophic cardiomyopathy6, myocarditis5 and pericarditis6. Pulmonary embolism 5, dissecting aneurysms 8, using the integral method to do the discriminant analysis. Patients with AMI typical symptoms, ECG and enzyme positive 2 points each, with atypical AMI symptoms, ECG and enzymatic suspicious positive product of 1 point, no AMI symptoms, ECG and enzyme negative product 0 points, the results of the product of ≥ There were 172 patients with 4 points, the sensitivity rate was 69.35%, the specific rate was 100%, and the patients with the product ≥3 had a sensitivity of 94.76% and specificity of 98.08%. This law quantitatively and accurately reflects the condition from several aspects, and has good practical value for emergency diagnosis and differential diagnosis of AMI. The article also discusses the issue of using the integral method for emergency cases of AMI.