本文分析我院1981年2月至1989年12月诊治的以腹痛为特征的急性心肌梗塞34例,以探讨早期诊断线索,减少误诊。发病年龄以55岁以下者居多(31例),男女比例约为1:2。腹痛情况以上腹痛多见(56%)。查体:血压下降者占76%/,第一心音减弱且低钝者占82%,腹肌紧张者占3%,腹部压痛者占20%,伴恶心呕吐者占53%。心电图示心下壁急性心肌梗塞者91.2%,无心前区疼痛者占94.1%,占同期住院治疗的急性心梗病人的7.1%,误诊时间一般在3～5小时,最长2例达 This article analyzes our hospital from February 1981 to December 1989 diagnosis and treatment of abdominal pain characterized by acute myocardial infarction in 34 cases to explore the early diagnosis of clues to reduce misdiagnosis. The age of onset was mostly younger than 55 (31), with a ratio of 1: 2. Abdominal pain more common abdominal pain (56%). Physical examination: blood pressure decreased accounted for 76% /, the first heart sound weakened and blunt 82%, abdominal tension accounted for 3%, abdominal tenderness accounted for 20%, with nausea and vomiting accounted for 53%. Electrocardiogram showed 91.2% of patients with acute myocardial infarction, 94.1% of patients without prior cardiac pain, 7.1% of patients with acute myocardial infarction hospitalized in the same period, misdiagnosis time was generally 3 to 5 hours, up to 2 patients up to