误诊为急性心肌梗死而误溶栓治疗15例分析

Analysis 15 Cases of being diagnsoed acute myocardial infarction and treated in intravenous theombolytic therapy erroneously

自 1993年 2月～ 1998年 8月对 16 5例急性心肌梗死 ( AMI)病人进行溶栓治疗 ,其中 15例发生误溶栓 ,误溶率 9.1%。 15例中早期复极综合征 5例 ,心肌炎 3例 ,室壁瘤 3例 ,扩张性心肌病 2例 ,高血压性心脏病、完全性左束支传导阻滞 1例 ,慢性支气管炎、肺气肿、肺心病 1例。本文分析了误溶栓病例 ,提出了减少误溶栓 ,提高 A

One hundred and sixty five patients with acute myocardial infarction (AMI) were treated in intravenous thrombolytic therapy from 1993 to 1998. Erroneously thrombolytic therapy took place in 15 cases of them and erroneously thrombolytic therapy rate was 9.1%. 5 cases of them were premature repolarization syndrome. 3 cases of them were myocarditis, 3 cases of them were aneurysm. 2 cases of them were dilated cardiomyopathy. 1 case of them was hypertensive heart disease and complete left bundle branch block. 1 case of them was chronic obstructive bronchitis and chronic obstrictive emphysema and pulmonary heart disease. The cases of erroneously thrombolytic therapy were analysed in topic, and the methods of decresing erroneously thrombolytic therapy and improving diagnosis and management level of acute myocardial infarction were brought about.