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对我科2005-03-2010-03收治的老年急性心肌梗死(AMI)误漏诊42例分析如下。1临床资料1.1一般资料本组男22例,女20例,年龄60～88(平均74.8)岁。合并基础疾病情况:糖尿病22例,高血压病20例,冠心病18例,高脂血症12例,脑卒中8例,肺心病4例,胆道疾病、消化性溃疡各2例。临床表现:胸闷、气喘、呼吸困难16例;异位痛15例(其中腹痛或伴恶心、呕吐7例,肩背痛3例,
To our department 2005-03-2010-03 admitted to the elderly acute myocardial infarction (AMI) mistakes missed 42 cases analyzed as follows. 1 Clinical data 1.1 General Information The group of 22 males and 20 females, aged 60 to 88 (average 74.8) years of age. Merger of basic diseases: 22 cases of diabetes, hypertension in 20 cases, coronary heart disease in 18 cases, hyperlipidemia in 12 cases, stroke in 8 cases, 4 cases of pulmonary heart disease, biliary tract disease, peptic ulcer in 2 cases. Clinical manifestations: chest tightness, asthma, dyspnea in 16 cases; heterotopic pain in 15 cases (including abdominal pain or nausea and vomiting in 7 cases, 3 cases of shoulder-back pain,