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近年来我院共收治老年急性心肌梗塞36例,其中10例因临床症状不典型、警惕性不高而误诊。误诊率高达27.7％。误诊病例因未能得到及时有效的治疗,其病死率明显增高。为了不断提高老年急性心肌梗塞的诊治水平,现对10例误诊病例简要分析讨论如下。 1 临床资料 本组10例误诊病例均为住院患者,男8例,女2例,年龄60～80岁,平均73岁。其中急性前间壁心梗3例,前侧壁心梗2例,广泛前壁心梗1例,下壁心梗2例,下壁+后壁或右室心梗2例。本组患者均属无痛型
In recent years, our hospital received a total of 36 elderly patients with acute myocardial infarction, of which 10 cases due to clinical symptoms are not typical, vigilance is not high and misdiagnosed. Misdiagnosis rate as high as 27.7%. Misdiagnosed cases due to failure to receive timely and effective treatment, the mortality was significantly higher. In order to continuously improve the diagnosis and treatment of senile acute myocardial infarction, 10 cases of misdiagnosed cases are briefly analyzed and discussed as follows. 1 clinical data of 10 cases misdiagnosed cases were hospitalized patients, 8 males and 2 females, aged 60 to 80 years, mean 73 years. Among them, 3 were acute anterior myocardial infarction, 2 anterior myocardial infarction, 1 extensive anterior myocardial infarction, 2 inferior myocardial infarction, 2 inferior posterior wall or right ventricular myocardial infarction. This group of patients are painless