急性心肌梗塞 ( AMI)具有典型胸痛症状者一般不难诊断 ,而临床表现不典型 (特别是老年 AMI缺乏胸痛 )者则发病早期容易误漏诊。近 10年来 ,我们收治无胸痛症状的 AMI患者 77例 ,现报告如下。临床资料 :本组男 54例 ,女 2 3例 ;年龄 2 7～ 80岁 ,平均 63.5岁。患者均无胸痛 ,心 Acute myocardial infarction (AMI) with typical chest pain symptoms are generally not difficult to diagnose, and clinical manifestations of atypia (especially in elderly patients with AMI lack of chest pain), then the incidence of early misdiagnosis. In the past 10 years, we admitted 77 patients with AMI without symptoms of chest pain, the report is as follows. Clinical data: The group of 54 males and 23 females; aged 2 7 to 80 years, mean 63.5 years old. Patients had no chest pain, heart