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目的探讨支气管哮喘急性发作合并急性心肌梗死患者的诊疗方法。方法分析12例支气管哮喘急性发作合并急性心肌梗死患者的临床资料,观察治疗效果。结果患者入院时均表现为不同程度的咳嗽、气喘、呼吸困难、心悸等支气管哮喘发作的明显特征,只有4例患者通过心电图检测确诊为并发急性心肌梗死,另外8例患者均于入院后临床表现出的胸闷、气促等症状加重,再次通过心电图等检测手段确诊。结论支气管哮喘急性发作合并急性心肌梗死在临床不多见,部分患者在心电图检测时呈不典型的心电图改变,因此易出现误诊、漏诊,从而延误治疗时机,治疗难度大,引起的死亡率高。
Objective To investigate the diagnosis and treatment of patients with acute exacerbation of bronchial asthma complicated by acute myocardial infarction. Methods The clinical data of 12 patients with acute exacerbation of bronchial asthma complicated with acute myocardial infarction were analyzed and the therapeutic effects were observed. Results All the patients showed obvious features of bronchial asthma attack such as cough, asthma, dyspnea and heart palpitations on admission. Only 4 patients were diagnosed with acute myocardial infarction by electrocardiogram. The other 8 patients were all on clinical manifestations after admission Out of the chest tightness, shortness of breath and other symptoms worsened, once again confirmed by tests such as electrocardiogram. Conclusions The acute exacerbation of bronchial asthma with acute myocardial infarction is rare in clinical practice. Some patients showed typical ECG changes during electrocardiogram examination. Misdiagnosis and missed diagnosis are therefore likely to occur in some patients. Delayed treatment is delayed and the treatment is difficult and the mortality rate is high.