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目的:探讨临床易误诊为ST段抬高型急性心肌梗死的其它几个疾病并进行分析讨论。方法:对本院误诊的21例患者进行分析,并结合文献讨论。结果:21例患者均有急性心梗样症状、心电图ST段抬高及血清肌钙蛋白升高,结合进一步的检查及动态观察最终诊断为急性肺栓塞、心肌炎等非心梗疾病。结论:急性心梗样症状、心电图ST段抬高及血清肌钙蛋白升高并非急性心梗特有,临床对此类病例仍需认真甄别,以减少误诊。
Objective: To investigate the clinical misdiagnosis as ST-segment elevation acute myocardial infarction in several other diseases and analysis and discussion. Methods: 21 patients misdiagnosed in our hospital were analyzed, and combined with the literature discussion. Results: All the 21 patients had acute myocardial infarction-like symptoms, ST-segment elevation in ECG and elevated serum troponin. Combined with further examination and dynamic observation, they eventually diagnosed acute myocardial infarction and non-myocardial infarction such as acute pulmonary embolism and myocarditis. Conclusion: The symptoms of acute myocardial infarction, ST segment elevation in ECG and elevation of serum troponin are not unique to acute myocardial infarction. Clinically, these cases still need to be carefully screened to reduce misdiagnosis.