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目的:研究评价各种常见诱因对急性下壁心肌梗死(IAMI)患者误诊判断的临床意义。方法:选择2002年1月～2009年12月我院急门诊IAMI患者63例,对其首发症状、心电图资料进行回顾性分析。结果:63例中,以头晕乏力首诊19例(30.16%),以晕厥首诊11例(17.46%),以上腹痛伴恶心呕吐,偶腹泻首诊13例(20.63%),以咽痛或牙痛首诊10例(15.87%),以呼吸困难首诊8例(12.70%),以左心衰竭首诊2例(3.17%)。结论:对急性下壁心肌梗死患者,常规心电图检查是必要的。再结合心肌坏死生化标志物指标,早诊断,早治疗。
Objective: To evaluate the clinical significance of various common causes of misdiagnosis in patients with acute inferior myocardial infarction (IAMI). Methods: 63 patients with acute IAMI in our hospital from January 2002 to December 2009 were selected for retrospective analysis of their first symptom and electrocardiogram. Results: In the 63 cases, the first diagnosis was 14 cases (30.16%) with dizziness and fatigue, the first diagnosis was 11 cases (17.46%) with syncope, the first abdominal pain with nausea and vomiting, the first diagnosis with even diarrhea was 13 cases (20.63%), The first diagnosis of toothache was in 10 cases (15.87%), the first diagnosis of dyspnea was in 8 cases (12.70%), and the second diagnosis was in left heart failure (3.17%). CONCLUSIONS: Conventional ECG is necessary for patients with acute inferior myocardial infarction. Combined with myocardial necrosis biochemical markers, early diagnosis and early treatment.