心电图呈心肌梗死样改变的特殊病例30例分析

目的 探讨心电图呈心肌梗死样改变的特殊病例的病因。方法 对2000年至2004年间心电图呈心肌梗死样改变的特殊病例30例进行病因分析。结果 30例特殊病例中，病毒性心肌炎11例（36．7％）、急性胰腺炎7例（23，3％）、肥厚性心肌病6例（20％）、胆心综合征4例（13．3％）、肺栓塞2例（6．7％）。结论 心电图呈心肌梗死样改变，病因多样，并非心肌梗死所特有，应结合临床及时、准确鉴别，以免误诊。

Analysis on 30 special cases of showing the ECG changes of cardiac infarction

Objective To explore the causes of the special cases showing the EKG changes of cardiac infarction. Methods To analyse the causes of 30 special cases showing the EKG changes of cardiac infarction between 2000 and 2004. Results Among 30 special cases there were 11 cases of viral myocarditis( 36. 7 % ), 7 cases of acute pancreatitis(23.3% ) ,6 cases of hypertrophic obstructive cardiomyopathy(20% ) ,4 cases of bile-cyst and heart syn-drome(13. 3% ) and 2 cases of pulmonary embolism(6. 7% ). Conclusions There are many causes showing the EKG changes of cardiac infarction. It isn't the typical symptom of the cardiac infarction. It should be combined with the clinic and be distinguished timely and exactly in order to avoid the misdiagnosis.