急性心肌梗死延迟诊断的原因分析——附14例病历

The cause of delayed identifying acute myocardial infarction( 14 cases attached )

目的 分析心肌梗死延迟诊断的原因 ,目的是提高对心肌梗死的认识能力。方法 凡急诊时第一份心电图或其后心电图仍未被明确诊断者 ,但后经心电图连续动态观察证实为急性心肌梗死 ,并同时经其他实验室检查明确为急性心肌梗死者入选 ,共 14例。结果 延迟诊断的首要原因是处于心肌梗死的早期 (5 / 14 )。结论 急性心肌梗死的诊断应连续动态观察 ,应注意细微的改变 ,应选择合适的导联。

Objective Aim of observing the cause of delayed identifying acute myocardial infarction was in order to improve the accuracy of diagnosis in patients with acute myocardial infarction. Metheds 14 patients with acute myocardial infarction who was not recognised in first or later ECG tracing after admission were included. Result Most commoncause of delayed identifying was that the patients were in the early stage of acute myocardial infarction when admitted (5 of 14 cases).Conclusion Serial ECG tracing, observing carefully and lead selection is important in diagnosing of acute myocardial infarction.