不典型急性心肌梗死误诊为胆绞痛9例分析

Analysis of 9 Cases of Atypical Acute Myocardial Infarction Misdiagnosed as Biliary Colic

目的探讨不典型急性心肌梗死(AMI)误诊为胆绞痛的原因及预防措施。方法对9例首诊误诊为不典型AMI的病例资料进行回顾性分析。结果 9例不典型AMI患者病初时均被误诊为胆绞痛。其中4例死亡。结论提高临床医师对不典型AMI的重视,对减少AMI误诊率、病死率及改善预后具有重要意义。

Objective To discuss the causes of atypical acute myocardial infarction （AMI） misdiagnosed as biliary colic, and find the prevention measure. Methods 9 cases of misdiagnosed atypical AMI were retro- spectively analyzed. Results All of the cases were misdiagnosed as biliary colic at the first time, with 4 cases dead. Conclusion To pay more attentions to atypical AMI by clinicians is of great significance for decrea- sing the rate of misdiagnosis and the mortality, and improve the prognosis.