论文部分内容阅读
笔者收集老年急性心肌梗塞(AMI)39例,在转院、转诊前因各种原因误诊,现将误诊原因分析如下:1 临床资料1.1 一般资料:本组男26例,女13例,男女比例为2:l.年龄60～85岁,其中60～65岁12例,66～70岁16例,71～75岁7例,76～85岁4例.1.2 临床表现:胸痛12例,咳嗽8例,气喘29例,上腹部痛伴恶心、呕吐16例,眩晕10例,偏瘫伴昏迷1例.1.3 误诊疾病:老年慢性支气管炎5例,肺心病5例,上呼吸道感染6例,糖尿病3例,急性胃炎9例,胆囊炎、胆结石3例,急性胃穿孔2例,急性胰腺炎4例,休克1例,脑血栓形成1例.1.4 误诊前2例心脏听诊时发现早搏,5例心电图报告偶发性室性早搏,34例未作心电图检查.1.5 确诊后心电图诊断心肌梗塞部位16例,前间壁5例,广泛前壁8例,广泛下壁2例,高侧壁3例,后下壁5例.
The author collected 39 elderly patients with acute myocardial infarction (AMI), in the transfer, referral misdiagnosis for various reasons, now misdiagnosed as follows: 1 Clinical data 1.1 General Information: The group of 26 males and 13 females, male to female ratio For 2: l. The age of 60 to 85 years, of which 12 cases of 60 to 65 years old, 16 cases of 66 to 70 years old, 71 to 75 years in 7 cases, 76 to 85 years in 4 cases .1.2 Clinical manifestations: chest pain in 12 cases, cough 8 Cases, asthma in 29 cases, upper abdominal pain with nausea and vomiting in 16 cases, vertigo in 10 cases, hemiplegia with coma in 1. 1.3 Misdiagnosis diseases: 5 cases of chronic bronchitis in elderly, pulmonary heart disease in 5 cases, upper respiratory tract infection in 6 cases, diabetes 3 For example, acute gastritis in 9 cases, cholecystitis, gallstones in 3 cases, acute gastric perforation in 2 cases, acute pancreatitis in 4 cases, shock in 1 case, cerebral thrombosis in 1 case .1.4 misdiagnosis before the heart auscultation found premature beats, 5 cases Electrocardiogram report premature ventricular premature beats, 34 cases did not make ECG.1.5 diagnosis of myocardial infarction after diagnosis of 16 cases of anterior wall in 5 cases, extensive anterior wall in 8 cases, extensive in 2 cases, 3 cases of high in the lateral wall, Lower wall in 5 cases.