冠心病诊断水平虽然不断有所提高,但仍是比较困难的课题,早期诊断尚有一定困难,尤其是在还没有明显影响心肌供血障碍情况下,对其诊断更为困难。国内一组100例冠心病临床与病理对照分析,临床冠心病诊断率为69%,其中30%是临终前方得诊断,当时病情危重,病人猝死;误诊率为31%,这些病人冠状动脉已有严重狭窄。其中少数还有血栓,而死前未得到诊断,这些病人有的死于冠心病,有的死于其他病。我们尸检77例冠心病者,作临床与病理对照分析,临床与病理基本一致者92.2%,临床与尸检完全一致者(并发症亦无失误)75.3%,猝死者占28.6%。以上说明冠心病的临床诊断有时亦甚困难,尤 Although the diagnosis of coronary heart disease continues to improve, but it is still a difficult subject, there are still some difficulties in the early diagnosis, especially in the absence of significant impact on myocardial blood supply disorders, the diagnosis is more difficult. A group of 100 cases of coronary heart disease clinical and pathological control analysis, the clinical diagnosis of coronary heart disease was 69%, of which 30% were diagnosed before the dying, when the critical condition, the patient died of sudden death; misdiagnosis rate was 31%, these patients have coronary artery Severe stenosis. A few of them also had thrombi, but they were not diagnosed before they died. Some of these patients died of coronary heart disease and some died of other diseases. We autopsy 77 cases of coronary heart disease, for clinical and pathological control analysis, the basic clinical and pathological consistent 92.2%, clinical and autopsy were consistent (no complications error) 75.3%, sudden death accounted for 28.6%. The above shows that the clinical diagnosis of coronary heart disease is sometimes very difficult, especially