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目的对于非典型心肌梗死应在短时间内做出准确判断,以免贻误治疗时机。方法对就诊的非典型心肌梗死初诊误诊的46例患者进行回顾性分析。结果在46例中,消化系统表现为主而误诊为急性胃炎者4例,急性胰腺炎者6例,急性胆囊炎者3例;以呼吸系统表现为主而误诊为慢性支气管炎2例,肺部感染2例,肺心病4例;以心悸表现为主而误诊为心律失常者11例,急性心力衰竭者6例,以意识障碍为突出表现而误诊为脑出血者8例。结论可见对于非典型心肌梗死临床上并不少见,往往由于临床表现不典型,而易使早期心肌梗死误诊,以致延误治疗,从而威胁到患者的生命。
The purpose of atypical myocardial infarction should make accurate judgments within a short time, so as not to delay the timing of treatment. Methods A total of 46 patients with newly diagnosed atypical myocardial infarction (MI) were analyzed retrospectively. Results In 46 cases, the digestive system was predominant and misdiagnosed as acute gastritis in 4 cases, acute pancreatitis in 6 cases and acute cholecystitis in 3 cases. The patients with respiratory manifestations were mainly misdiagnosed as chronic bronchitis in 2 cases and lung Department of infection in 2 cases, 4 cases of pulmonary heart disease; palpitations mainly misdiagnosed as arrhythmia in 11 cases, 6 cases of acute heart failure, disturbance of consciousness as a manifestation of misdiagnosed as cerebral hemorrhage in 8 cases. Conclusion can be seen for atypical myocardial infarction clinical is not uncommon, often due to clinical manifestations of atypical, and often easy to make misdiagnosis of early myocardial infarction, resulting in delay in treatment, thus threatening the lives of patients.