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目的提高对非典型急性心肌梗死(AMI)的早期诊断,减少误诊率。方法对11例非典型AMI误诊病例进行临床分析。结果 11例被误诊为非典型AMI的患者起病时无典型心绞痛,首发表现为上腹部疼痛、恶心呕吐、腹泻等消化道症状,被误诊为胃炎、胃肠炎、胆囊炎,发生部位以下壁多见,病死率高。结论提高基层医生对非典型AMI的认识,对降低误诊率、病死率及改善AMI患者的预后有重要意义。
Objective To improve the early diagnosis of atypical acute myocardial infarction (AMI) and reduce the misdiagnosis rate. Methods 11 cases of atypical AMI misdiagnosed cases were analyzed. Results The 11 patients who were misdiagnosed as atypical AMI had no typical angina pectoris on onset. The first episode showed upper gastrointestinal pain, nausea and vomiting, diarrhea and other gastrointestinal symptoms. They were misdiagnosed as gastritis, gastroenteritis and cholecystitis. The following sites More common, high fatality rate. Conclusion It is of great significance to improve the understanding of primary atypical AMI for reducing the misdiagnosis rate, mortality and improving the prognosis of patients with AMI.