目的:探究非典型急性心肌梗死患者早期的诊断方法,并根据诊断结果采取急诊处理措施。方法:选取2013年2月至2015年2月在茂名市茂南区人民医院接受治疗的50例非典型心肌梗死患者,并根据临床资料的收集对患者的治疗情况进行回顾分析。结果:通过对50例患者进行治疗发现,有10例患者初诊误诊,误诊率为20%,误诊患者中:3例为胃炎,2例为急性胆囊炎,2例急性心功能衰竭,1例为急性肠炎,1例为心律失常,1例为心源性休克。通过对40例非典型心肌梗死患者进行心电图检查,确定患者的心肌梗死部位,在40例患者中心肌梗死前壁位置占31.2%,前间壁位置占21.5%,心机梗死位于心内膜下占17.2%,位于广泛前壁位置占11.5%,位于侧壁位置占8.4%,心机梗死位于后壁位置占7.2%。通过速率法对患者的心肌酶进行检测,发现患者肌酸激酶(CK)为(533.2±72.5)U/L,肌酸激酶同工酶(CK-MB)为(94.5±24.3)U/L,乳酸脱氢酶(LDH)为(633±128)U/L,AST为(125.5±26.5)U/L,通过对以上数据进行分析后发现所有的数值与正常人相比均升高2倍以上。最终经过积极地治疗以后,19例患者痊愈,痊愈率为48.3%,17例患者有明显的好转现象,好转率为41.5%,有4例患者最终死亡,死亡率为10%。结论:通过对非典型急性心肌梗死患者进行心电图以及心肌酶检查,有助于对患者早期的急性心肌梗死的确诊,便于及时采取急诊措施进行处理,减少患者心肌受损,提高治疗效果,改善患者的预后。 Objective: To explore the early diagnosis of patients with atypical acute myocardial infarction and take emergency treatment according to the diagnosis. Methods: Fifty patients with atypical myocardial infarction who were treated in Maonan People’s Hospital of Maoming from February 2013 to February 2015 were retrospectively analyzed according to the clinical data collected. Results: Fifty patients were found to have been misdiagnosed as having a misdiagnosis rate of 20% in the first visit. Among the misdiagnosed patients, 3 were gastritis, 2 were acute cholecystitis, 2 were acute heart failure, and 1 was Acute enteritis, 1 case of arrhythmia, 1 case of cardiogenic shock. Electrocardiogram was performed on 40 patients with atypical myocardial infarction to determine the location of myocardial infarction. In 40 patients, the anterior myocardial wall position was 31.2%, the anterior wall position was 21.5%, and the myocardial infarction was located under the endocardium 17.2 %, Located in a wide front wall accounted for 11.5%, located in the side wall accounted for 8.4%, myocardial infarction in the posterior wall position accounted for 7.2%. The rate of creatine kinase (CK) was (533.2 ± 72.5) U / L, creatine kinase isoenzyme (CK-MB) was (94.5 ± 24.3) Lactate dehydrogenase (LDH) was (633 ± 128) U / L, AST was (125.5 ± 26.5) U / L, through the analysis of the above data found that all the values ​​were increased more than 2 times compared with normal . Finally, after active treatment, 19 patients recovered, the cure rate was 48.3%. 17 patients had a significant improvement phenomenon, the improvement rate was 41.5%, and 4 patients eventually died with a mortality rate of 10%. Conclusion: ECG and myocardial enzyme examination in patients with atypical acute myocardial infarction can help diagnose patients with acute myocardial infarction in the early stage, facilitate emergency treatment in time, reduce myocardial damage, improve the therapeutic effect and improve the patients The prognosis.