我院自1990年至1999年收治的急性心肌梗塞（AMI）病人中21例入院初步诊断被误诊为 其它疾病,误诊时间1至72小时不等,有的病例及时修正诊断,有的病例按其它疾病治疗, 致使丧失抢救时机。本组21例死亡8例,说明基层医务人员应提高对AMI临床各种表现 的正确认识,可避免给病人增加痛苦甚至危及病人生命。 21 cases of AMI admitted to our hospital from 1990 to 1999 were misdiagnosed as other diseases, misdiagnosis time ranged from 1 to 72 hours, some cases were promptly corrected and others were diagnosed by other methods Disease treatment, resulting in loss of opportunity to rescue. The group of 21 deaths in 8 cases, indicating that grass-roots medical staff should improve the clinical manifestations of AMI correct understanding of the various, to avoid increasing patient suffering or even endanger the lives of patients.