变异型急性心肌梗死27例误诊分析

Analysis of the misdiagnosis of variant acute myocardial infarction

目的对变异型急性心肌梗死诊断进行分析。方法回顾性分析27例变异型急性心肌梗死患者临床资料。结果27例患者首诊均误诊,复查心电图、心肌酶学均证实为Q波型心肌梗死。根据心肌梗死定位分为:下壁8例,前壁7例,前间壁4例,广泛前壁5例,高侧壁2例,正后壁1例。结论变异型急性心肌梗死易误诊为急腹症、脑动脉硬化、颈部疾病等,但比较其临床表现,尤其是心电图及心肌酶学有一定的动态变化,诊断中要综合分析,早诊断、早治疗。

Objective To analyze the diagnosis of variant acute myocardial infarction. Methods Clinical datas were retrospectively analyzed in 27 cases with variant acute myocardial infarction. Results 27 patients were diagnosed with myodial infarction by ECG and myocardial enzymea. Conclusion Variant acute myocardial infarction is often misdiagnosed as acute abdomen,cerebral aarterial infarction the disease of neck. but its clinical manifestation especially ECG and myocardial enzymes are changeable, and it needs full analysis, early diagnosis and therapy.