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目的通过分析非典型急性心肌梗死病例误诊、漏诊的原因,积累及时、准确诊断病症的诊治体会。方法对临床工作中收集的50例非典型急性心肌梗死病例就诊过程进行追溯分析。结果50例不典型AMI患者,误诊15例,疑诊者16例;20例经常规静脉溶栓成功,5例静脉溶栓未成功,38例患者7～15d后行冠脉介入治疗,患者症状缓解;有5例抢救无效死亡。结论分析非典型急性心肌梗死的症状、年龄因素、心电图及心肌酶学的非典型性及非典型心肌梗死应引起足够的重视,应做早期诊断、治疗。
Objective To analyze the causes of misdiagnosis and missed diagnosis in patients with atypical acute myocardial infarction and to accumulate timely and accurate diagnosis and treatment of the disease. Methods A retrospective analysis of 50 cases of atypical acute myocardial infarction collected during clinical work was conducted. Results Of 50 patients with atypical AMI, 15 were misdiagnosed and 16 were suspected. Twenty patients underwent conventional thrombolytic therapy successfully and 5 patients underwent unsuccessful thrombolysis. Thirty-eight patients underwent coronary intervention after 7-15 days. Ease; there are 5 cases of death and invalid rescue. Conclusions Analysis of atypical acute myocardial infarction symptoms, age factors, electrocardiogram and myocardial enzymatic atypical and atypical myocardial infarction should pay enough attention should be done early diagnosis and treatment.