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目的探讨总结特殊心电图误诊为急性心肌梗死(AMI)的临床原因。方法回顾性分析我院急诊科2004～2010年所诊治的特殊心电图误诊为AMI的20例患者的心电图资料。结果误诊的特殊心电图最后正确诊断为:早期复极综合征(ERS)5例,急性左心衰患ECG呈室内阻滞者4例,心肌病3例,急性肺栓塞2例,急腹症3例,急性重症心肌炎2例,主动脉夹层1例。结论临床医师对于特殊心电图的相关知识及急性心肌梗死的诊治进展、鉴别应加强学习,提高诊治水平,减少误诊率。
Objective To summarize the clinical causes of misdiagnosis of special electrocardiogram as acute myocardial infarction (AMI). Methods The electrocardiogram data of 20 patients misdiagnosed as AMI by special electrocardiogram diagnosed and treated in emergency department of our hospital from 2004 to 2010 were retrospectively analyzed. The results of misdiagnosis of the special ECG finally correct diagnosis of: early repolarization syndrome (ERS) in 5 cases, acute left heart failure ECG was intracranial block in 4 cases, 3 cases of cardiomyopathy, acute pulmonary embolism in 2 cases, acute abdomen 3 Cases, acute severe myocarditis in 2 cases, 1 case of aortic dissection. Conclusion Clinicians for the special knowledge of ECG and diagnosis and treatment of acute myocardial infarction, identification should strengthen learning, improve diagnosis and treatment, reduce the misdiagnosis rate.