论文部分内容阅读
目的探讨非典型急性心肌梗死误诊、漏诊的原因。方法对46例误诊、漏诊的非典型急性心肌梗死的临床资料进行回顾性分析。结果15例误诊为消化道疾病;8例误诊为呼吸道感染;4例误诊为肺心病;4例误诊为心绞痛;3例误诊为高血压性心脏病;2例误诊为感染性休克,其余12例误诊为其他疾病。结论非典型急性心肌梗死临床症状复杂多样,易误诊,临床医生应重视对本病的认识。
Objective To investigate the causes of misdiagnosis and missed diagnosis of atypical acute myocardial infarction. Methods The clinical data of 46 cases of misdiagnosis and missed diagnosis of atypical acute myocardial infarction were retrospectively analyzed. Results 15 cases were misdiagnosed as gastrointestinal diseases, 8 cases were misdiagnosed as respiratory tract infections, 4 cases were misdiagnosed as pulmonary heart disease, 4 cases were misdiagnosed as angina pectoris, 3 cases were misdiagnosed as hypertensive heart disease, 2 cases were misdiagnosed as septic shock and the other 12 cases were misdiagnosed as septic shock Misdiagnosed as other diseases. Conclusions The clinical symptoms of atypical acute myocardial infarction are complex and diverse and easily misdiagnosed. Clinicians should pay more attention to this disease.