急性心肌梗死30例临床误诊分析

目的 对30例急性心肌梗死误诊原因进行分析总结.方法 对本院门诊、急诊收治的急性心肌梗死30例患者临床资料进行回顾性分析,对首诊误诊及救治效果进行总结分析.结果 12例误诊为COPD、肺心病、气胸、急性肺栓塞等呼吸系统疾病急性发作;6例误诊为脑血管急症;6例误诊为消化道急腹症;3例误诊为牙周炎等;2例误诊为颈椎病;1例误诊为肋软骨炎.经紧急抢救,痊愈23例,死亡7例,死亡率为23.3%.结论 急性心肌梗死患者早期临床表现不典型,容易导致误诊,延误治疗导致患者死亡,医生应根据症状体征、ECG及血生化等结果进行综合诊断,减少误诊发生.

Analysis of misdiagnosis of 30 cases of acute myocardial infarction.

Objective To analyze the causes of misdiagnosis of 30 patients with acute myocardial infarction. Methods Retrospectively analyzed the clinical data of 30 patients with acute myocardial infarction treated in the emergency de- partment of our hospital, summarized and analyzed the misdiagnosis and treatment effect. Results Twelve cases were misdiagnosed as COPD, pulmonary heart disease, pneumothorax and other acute respiratory system diseases; 6 cases were misdiagnosed as cerebral vascular disease; 6 cases were misdiagnosed as acute abdominal disease; 3 cases were misdiagnosed as periodontitis; 2 cases were misdiagnosed as cervical spondylosis; 1 case was misdiagnosed as rib carti- lage inflammation. After emergency treatment, 23 cases were cured, while 7 cases were dead, the mortality rate was 23.3%. Conclusion Clinical manifestation in patients with acute myocardial infarction is not typical, easily lead to misdiagnosis and delay the treatment, and cause death of patients. The doctor should diagnosis according to the symp- toms and signs, ECG and blood biochemical results to reduce misdiagnosis.