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急性心肌梗死是内科的急重症之一,有起病急、进展迅速的特点。我管辖的2个社区医院曾在半年内连续误漏诊了7例不典型急性心肌梗死,所幸发现及时,患者得以妥善治疗。诊断急性心肌梗死主要依靠病史、心电图和血清酶学改变三者结合,其中心电图检查是诊断急性心肌梗死的一个重要方法,当心电图出现坏死型Q波,损伤型ST抬高,缺血型T波倒置,一般不难诊断为急性心肌梗死。但有相当多患者的心电图没有典型表现,给诊断带来一定的困难,极易漏诊。我
Acute myocardial infarction is an acute and severe medical disease, acute onset, rapid progress. Two community hospitals under my jurisdiction had missed seven consecutive cases of atypical acute myocardial infarction in half a year. Fortunately, they were found timely and the patients were properly treated. Diagnosis of acute myocardial infarction mainly depends on history, electrocardiogram and serum enzyme changes in the combination of the three, of which ECG is an important method of diagnosis of acute myocardial infarction, when the ECG showed necrotic Q waves, ST injury elevation, ischemic T wave Inverted, generally not difficult to diagnose acute myocardial infarction. However, there is a considerable number of patients without typical ECG, to bring some difficulties in the diagnosis, easily missed. I