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目的探讨不典型急性心肌梗死的发病临床特点,减少不典型急性心肌梗死的误诊、漏诊率,做到早期识别疾病,早诊断,提高疾病治愈率。方法通过对我院2008年6月至2011年6月来院就诊的50例病案分析。结果病例分析中因疼痛部位不典型而被误诊为心脏以外的疾病,如消化系统疾病、口腔系统疾病、神经系统疾病、脑血管系统疾病以及呼吸系统疾病。在结合详细询问病史、心电图检查和心肌酶检查后得到确诊。确诊后在科室得到积极有效的合理治疗,降低了临床病死率。结论特别注意老年人再出现突发性不明原因的疼痛时,应提高警惕,要结合临床体征、心电图检查和心肌酶检查,降低不典型心肌梗死的误诊漏诊。
Objective To investigate the clinical features of atypical acute myocardial infarction and to reduce the misdiagnosis and misdiagnosis rate of atypical acute myocardial infarction so as to identify the disease early and diagnose early and improve the cure rate of the disease. Methods Through our hospital from June 2008 to June 2011 to the hospital for treatment of 50 cases of medical records. Results In the case analysis, patients with atypical pain were misdiagnosed as heart diseases, digestive diseases, oral diseases, nervous system diseases, cerebrovascular diseases and respiratory diseases. In combination with detailed history, ECG and myocardial enzyme check confirmed. After diagnosis in the department to be positive and effective treatment, reducing the clinical mortality. Conclusions Special attention should be given to the vigilance when the sudden onset of unknown unexplained pain occurs in the elderly. To reduce the misdiagnosis and missed diagnosis of atypical myocardial infarction in combination with clinical signs, electrocardiogram examination and myocardial enzyme test.