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目的探讨急性心肌梗死临床误诊原因及预防措施。方法回顾分析80例老心肌梗死漏误诊资料。结果老年性心肌梗死,既往合并糖尿病者,脑血管意外和心功能不全者多见,接受再灌注治疗(静脉溶栓、PCI治疗)低,并多发症多,死亡率高。结论应提高老年心肌梗死的认识,争取早治疗,改善预后。
Objective To investigate the causes and preventive measures of clinical misdiagnosis in acute myocardial infarction. Methods Retrospective analysis of misdiagnosis data of 80 cases of old myocardial infarction. Results Senile myocardial infarction, former with diabetes, cerebrovascular accident and cardiac insufficiency more common, reperfusion therapy (intravenous thrombolysis, PCI) low, and multiple and more, high mortality. Conclusion Awareness of senile myocardial infarction should be improved, fight for early treatment and improve prognosis.