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以上腹部痛疼为主诉的急性心肌梗塞(AMI)临床上多见於膈面心肌梗塞,很少见於前壁梗塞。笔者曾遇到5例,现报告如下: 临床资料:5例均为男性住院患者。年龄48～64岁,平均54岁。其中前壁梗塞3例,广泛前壁1例,前壁+高侧壁1例。5例均以上腹部痛疼就诊。入院前,2例曾误诊为胃病,1例误诊为胆结石。后经ECG描记为典型AMI图型,心肌酶谱明显升高。5例均按AMI治疗。
Acute myocardial infarction (AMI), the chief complaint of abdominal pain, is more common in diaphragmatic MI, which is rare in anterior wall infarction. I have encountered 5 cases, are as follows: Clinical data: 5 cases were male inpatients. Age 48 ~ 64 years old, average 54 years old. Including anterior infarction in 3 cases, extensive anterior wall in 1 case, anterior wall + high in 1 case. 5 cases of upper abdominal pain treatment. Before admission, 2 cases had been misdiagnosed as stomach, 1 case misdiagnosed as gallstones. After ECG was recorded as a typical AMI pattern, myocardial enzymes increased significantly. 5 cases were treated by AMI.