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目的:探讨基层医院急性心肌梗死(AMI)误诊原因及防范对策,以提高对AMI的认识和诊治水平。方法:回顾性分析2010年6月-2014年6月我院门急诊首诊误诊的26例AMI患者的临床资料。结果:误诊为呼吸系统疾病9例,其他心血管疾病8例,消化道疾病6例,泌尿系结石肾绞痛、颈椎病、肩周炎各1例;5例在门急诊发生猝死。结论:AMI的临床表现复杂多样,容易误诊,加强对AMI的认识,规范诊疗过程,可提高其诊治水平,降低误诊率及死亡率。
Objective: To investigate the causes of misdiagnosis of AMI in primary hospitals and the preventive measures to improve the understanding and diagnosis and treatment of AMI. Methods: The clinical data of 26 patients with AMI who were misdiagnosed as first diagnosis in our hospital from June 2010 to June 2014 were retrospectively analyzed. Results: 9 cases were misdiagnosed as respiratory diseases, 8 cases of other cardiovascular diseases, 6 cases of gastrointestinal diseases, urolithiasis and colic, cervical spondylosis and frozen shoulder. There were 5 cases of sudden death in emergency department. Conclusion: The clinical manifestations of AMI are complex and diverse, easily misdiagnosed, enhanced awareness of AMI, standardize the diagnosis and treatment process, improve the diagnosis and treatment, and reduce the misdiagnosis rate and mortality rate.