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症状非典型性心肌梗塞起病症状多样化,病情多变,临床上易于延误诊断及治疗。为减少误诊,笔者将近年所见9例早期误诊病例分析报告如下。1临床资料1.1一般资料:本组9例,男6例,女3例,年龄54～76岁,平均年龄64.1岁,60岁以上者5例,有高血压病史者2例,均无心绞痛病史。其中误诊为支气管哮喘1例,支气管炎1例,急性胃肠炎2例,急性菌痢1例,急性胆囊炎1例,消化性演疡1例,脑血管意外1例,颈椎病1例。误诊时间1～7天。1.2临床表现:9例均无典型胸骨后疼痛。其中4例无疼痛症状,5例有其它部位疼痛。
Symptoms of atypical myocardial infarction onset symptoms diversified, changing conditions, clinical diagnosis and treatment is easy to delay. In order to reduce misdiagnosis, the author will see 9 cases of early misdiagnosis cases reported in recent years are as follows. 1 Clinical data 1.1 General Information: The group of 9 patients, 6 males and 3 females, aged 54 to 76 years, mean age 64.1 years, 5 patients over the age of 60, 2 patients with history of hypertension, no history of angina . Misdiagnosed as bronchial asthma in 1 case, bronchitis in 1 case, acute gastroenteritis in 2 cases, acute bacillary dysentery in 1 case, acute cholecystitis in 1 case, digestive ulcer in 1 case, cerebrovascular accident in 1 case, cervical spondylosis in 1 case. Misdiagnosis time of 1 to 7 days. 1.2 Clinical manifestations: None of the 9 cases showed typical sternal pain. Four of them had no painful symptoms and five had pain in other areas.