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目的分析总结24例急性心肌梗死出现误诊的原因。方法回顾性分析本院出现误诊的24例急性心肌梗死患者的临床资料,分析诊断结果、误诊原因和治疗效果。结果 9例误诊为慢性阻塞性肺疾病和急性肺栓塞等呼吸系统疾病急性发作,5例误诊为脑血管急症,4例误诊为消化道急腹症,4例误诊为牙周炎等,2例误诊为颈椎病。经紧急抢救,病死率为25.0%。结论初期急性心肌梗死患者的临床表现不典型,容易导致误诊,耽误治疗,增加病死率,医师应综合患者的症状体征、结合科学的心电图检查和血生化检测等结果,综合鉴别和诊断,减少误诊漏诊,提高患者的生存率。
Objective To analyze the causes of misdiagnosis in 24 cases of acute myocardial infarction. Methods The clinical data of 24 patients with acute myocardial infarction misdiagnosed in our hospital were retrospectively analyzed. The diagnostic results, the causes of misdiagnosis and the therapeutic effect were analyzed. Results 9 cases were misdiagnosed as acute exacerbation of respiratory diseases such as chronic obstructive pulmonary disease and acute pulmonary embolism, 5 cases misdiagnosed as cerebrovascular emergency, 4 cases misdiagnosed as digestive tract acute abdomen, 4 cases misdiagnosed as periodontitis, 2 cases Misdiagnosed as cervical spondylosis. After emergency rescue, fatality rate was 25.0%. Conclusion The clinical manifestations of patients with acute myocardial infarction in the early stage are not typical, easily lead to misdiagnosis, delay treatment and increase the mortality, physicians should be integrated with the patient’s symptoms and signs, combined with the results of scientific ECG and blood biochemical tests, comprehensive identification and diagnosis, reduce misdiagnosis Misdiagnosis, improve patient survival.