急性心肌梗死(AMI)诊断并不困难,但以腹痛、恶心、呕吐为首发症状的AMI极易误诊为急性胆囊炎、急性胃炎、急性胰腺炎。延误了治疗,使患者失去了抢救的机会,现将我们误诊的5例分析如下。例1　男,71岁。右上腹痛放射至右肩及右腰部反复发作伴恶心呕吐8年按胆囊炎治疗无效加重1d入 Acute myocardial infarction (AMI) diagnosis is not difficult, but with abdominal pain, nausea, vomiting as the first symptom of AMI easily misdiagnosed as acute cholecystitis, acute gastritis, acute pancreatitis. Delay in treatment, so that patients lost the chance of rescue, now we misdiagnosed 5 cases as follows. Example 1 male, 71 years old. Right upper quadrant pain radiating to the right shoulder and right lower quadrant with recurrent nausea and vomiting 8-year treatment of cholecystitis invalid aggravate 1d into