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目的探讨以晕厥为首发症状的急性心肌梗死(AMI)误诊原因,防范措施。方法回顾性分析以晕厥为首发症状AMI 18例住院误诊患者的临床资料。结果 18例经临床分析、心电图检查、血清心肌酶、肌钙蛋白检测均确诊为AMI,经及时抢救治疗好转17例,死亡1例。结论应仔细询问病史及体格检查,密切观察病情演变,早期重视心电图和血清心肌酶、肌钙蛋白等检测动态变化,并进行综合分析是避免误诊的关键。
Objective To investigate the causes and preventive measures of misdiagnosis of acute myocardial infarction (AMI) with syncope as the first symptom. Methods The clinical data of 18 patients with misdiagnosed inpatients with syncope as the first symptom of AMI were retrospectively analyzed. Results 18 cases were diagnosed as AMI by clinical analysis, electrocardiogram examination, serum myocardial enzyme and troponin. After timely rescue treatment, 17 cases were improved and 1 case died. Conclusions Careful examination of medical history and physical examination should be carried out to observe the evolution of the disease, early detection of electrocardiogram (ECG), serum myocardial enzymes and troponin and to conduct a comprehensive analysis to avoid the key point of misdiagnosis.