急性心肌梗死误诊23例分析

An Analysis of Misdiagnosis of 32 Cases with Acute Myocardial Infarction

目的:探讨急性心肌梗死(AMI)误诊原因,以期提高对AMI的诊断水平。方法:对23例误诊的急性心肌梗死的临床资料进行回顾性分析。结果:8例误诊为消化道疾病;5例误诊为呼吸道疾病;3例误诊为心绞痛;2例误诊为高血压性心脏病;2例误诊为颈椎病,3例误诊为糖尿病酮症。结论:急性心肌梗死临床表现复杂多样,较易误诊,应引起临床医生的重视。

Objective:To investigate the reasons of misdiagnosis in acute myocardial infarction (AMI) and improve the diagnosis level on AMI. Methods: The clinical data of 23 cases with AMI which were misdiagnosed were analyzed retrospectively. Results: Eight cases were misdiagnosed as gastrointestinal disease; 5 cases as respiratory tract disease; 3 cases as angina pectoris; 2 cases as hypertensive heart disease; 2 cases as neck vertebra disease; 3 cases as diabetes ketosis. Conclusion: The clinical symptoms and sign of AMI were complicated and easy to be misdiagnosed. Doctors should pay more attention to the AMI.