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目的分析心肌梗死早期误诊原因,减少误诊率。方法对2007年河南省新乡公立医院收治的心肌梗死30例首发症状及心电图进行回顾性分析。结果误诊为急性胃炎2例,颈椎病3例,冠心病3例,牙龈炎2例,肩周炎3例,脑供血不足1例。结论临床表现多样化,应高度警惕,充分利用基层医院医疗设备,提高对本病的诊断能力,使诊断符合率提高。
Objective To analyze the causes of misdiagnosis in early stage of myocardial infarction and reduce the rate of misdiagnosis. Methods The first symptom and electrocardiogram of 30 cases of myocardial infarction admitted to Xinxiang Public Hospital in Henan Province in 2007 were analyzed retrospectively. Results Misdiagnosed as acute gastritis in 2 cases, cervical spondylosis in 3 cases, 3 cases of coronary heart disease, gingivitis in 2 cases, 3 cases of frozen shoulder, cerebral insufficiency in 1 case. Conclusions Diversification of clinical manifestations should be highly vigilant, make full use of the medical equipment in primary hospitals to improve the diagnosis of the disease, so that the diagnosis of coincidence rate.