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目的分析60例胸痛患者误诊为急性冠脉综合征的误诊原因,探讨避免误诊的方法。方法选取2010年1月至2013年12月博爱县人民医院误诊为急性冠脉综合征的胸痛患者60例,综合分析其误诊原因并进行分析。结果本院胸痛患者误诊为急性冠脉综合征的综合误诊率为3.79%,误诊的60例患者出现胸痛的真正病因分别为:消化系统疾病26例,呼吸系统疾病18例,主动脉夹层及主动脉夹层动脉瘤8例,带状疱疹4例,其他4例。结论应尽力避免将胸痛患者误诊为急性冠脉综合征,以免延误病情,增加患者痛苦。
Objective To analyze the causes of misdiagnosis of 60 cases of chest pain patients misdiagnosed as acute coronary syndromes and to explore ways to avoid misdiagnosis. Methods 60 patients with chest pain misdiagnosed as acute coronary syndrome from January 2010 to December 2013 in Boai County People’s Hospital were selected and the causes of misdiagnosis were analyzed and analyzed. Results The total misdiagnosis rate of misdiagnosed as acute coronary syndrome in our hospital was 3.79%. The true causes of chest pain in 60 patients misdiagnosed were digestive system diseases, respiratory system diseases, 18 cases of aortic dissection and main Arterial dissection aneurysm in 8 cases, 4 cases of herpes zoster, the other 4 cases. Conclusion We should try our best to avoid misdiagnosing chest pain as acute coronary syndrome, so as not to delay the disease and increase patient’s suffering.