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目的:总结非典型急性心肌梗死的临床特点,探讨误诊原因并提出防范误诊的对策。方法:回顾分析该院2012年2月至2015年5月误诊的39例非典型急性心肌梗死的临床资料。结果:39例患者中,男27例,女12例,误诊为消化系统疾病17例,循环系统疾病9例,神经系统疾病5例,呼吸系统疾病4例,其他疾病4例。结论:通过非典型急性心肌梗死病例的临床总结,提高该病的诊断、处理及防范,提高临床医生对不典型急性心肌梗死的警惕性,减少误诊、漏诊,改善患者的生存质量。
Objective: To summarize the clinical features of atypical acute myocardial infarction, to explore the causes of misdiagnosis and to put forward countermeasures to prevent misdiagnosis. Methods: A retrospective analysis of the hospital from February 2012 to May 2015 misdiagnosed 39 cases of atypical acute myocardial infarction clinical data. Results: Among the 39 patients, there were 27 males and 12 females, 17 were misdiagnosed as digestive diseases, 9 were circulatory diseases, 5 were neurological diseases, 4 were respiratory diseases and 4 were other diseases. Conclusion: The clinical summary of atypical acute myocardial infarction can improve the diagnosis, treatment and prevention of this disease, improve the vigilance of clinicians on atypical acute myocardial infarction, reduce the misdiagnosis, misdiagnosis and improve the quality of life of patients.