不典型急性心肌梗死41例误诊分析

The misdiagnostic analysis of 41 cases with atypical acute myocardial infarction

目的 :探讨不典型急性心肌梗死误诊的原因 ,找出预防对策。方法 :对 4 1例误诊的不典型急性心肌梗死的临床资料进行回顾性分析。结果 :12例误诊为消化道疾病 ;7例误诊为呼吸道感染 ;3例误诊为肺心病 ;3例误诊为心绞痛 ;2例误诊为高血压性心脏病 ;2例误诊为感染性休克 ,12例误诊为其他疾病。结论 :不典型急性心肌梗死临床症状复杂多样 ,易误诊 。

Objective: To investigate the reasons of misdiagnosis in atypical acute myocardial infarction(AMI) and find out the preventive methods. Methods: The clinical data of 41 cases with atypical AMI which were misdiagnosed were analyzed retrospectively. Results: 12 cases were misdiagnosed as gastrointestinal disease; 7 cases were misdiagnosed as respiratory tract infection; 3 cases were misdianosed as cor pulmonale; 3 cases were misdiagnosed as angina pectoris; 2 cases were misdiagnosed as hypertensive heart disease; 2 cases were misdiagnosed as septic shock and 12 cases were misdiagnosed as other diseases. Conclusion: The clinical symptoms of atypical AMI were complicated and easy to be misdiagnosed. Doctors should pay more attention to the atypical AMI.