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2007年4月至2009年6月齐齐哈尔市和平医院门诊及住院共治疗19例非典型急性心肌梗死误诊病例,现将其病例资料分析如下。1临床资料1.1性别与年龄本组19例非典型急性心肌梗死例,女5例,年龄46～81岁,平均68岁。1.29例误诊为心脏病心力衰竭突发性左心力衰竭3例,表现为胸闷、呼吸困难。慢性左心力衰竭突然加重6例,3例冠心病,2例扩张型心肌病和1例肺源性心脏病,都曾因心功能不全而多次住院治疗,此次发病均以原心脏病心力衰竭加重就诊,经常规纠正心力衰竭治疗,症状加重,心电图检查3例广泛前壁、2例下壁、1例三度房室传导阻滞,经心肌酶学检查而进一步证实。
April 2007 to June 2009 Peace Hospital, Qiqihar City, outpatient and inpatient treatment of atypical cases of misdiagnosed cases of 19 cases of acute myocardial infarction, the case data are now analyzed as follows. 1 Clinical data 1.1 gender and age 19 cases of atypical cases of acute myocardial infarction in this group, 5 females, aged 46 to 81 years, mean 68 years. 1.29 cases of misdiagnosed as heart failure heart failure in 3 cases of sudden heart failure, chest tightness, dyspnea. Chronic left heart failure suddenly aggravated in 6 cases, 3 cases of coronary heart disease, 2 cases of dilated cardiomyopathy and 1 cases of pulmonary heart disease, have multiple hospitalizations due to cardiac insufficiency, the incidence of heart disease are the original heart disease Failure to increase treatment, the routine correction of heart failure treatment, symptoms, ECG extensive anterior wall in 3 cases, 2 cases of inferior wall, 1 case of third degree atrioventricular block, further confirmed by myocardial enzymology.