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1985～1995年共收治急性心肌梗塞110例,其中误诊22例,误诊率20％,现分析如下。1 无疼组 本组7例,其中男性70岁以上2例,突发胸闷气短,呼吸困难,门诊以冠心病心率失常收住院。80岁男性2例,夜间突发胸闷、大汗心悸,既往有高血压病史,以急性左心衰收住院。女性65岁晨起意识障碍,既往有糖尿病史,以糖尿病酸中毒收住院。男性68岁突然呼吸困难伴短暂意识障碍,以一过性脑供血不足收住院。女性62岁头晕、谵语、语无论次6小时,以
Between 1985 and 1995, 110 cases of acute myocardial infarction were treated, of which 22 cases were misdiagnosed and the misdiagnosis rate was 20%. The analysis is as follows. 1 painless group of 7 patients, including 2 men over 70 years of age, sudden chest tightness, shortness of breath, difficulty breathing, outpatient coronary heart disease was admitted to hospital. 80-year-old male in 2 cases, sudden chest tightness at night, sweating palpitations, previous history of hypertension, admitted to the hospital with acute left heart failure. 65-year-old female onset of consciousness disorders, previous history of diabetes, diabetic acidosis admitted to hospital. 68-year-old male sudden dyspnea with transient disturbance of consciousness, admitted to a transient cerebral insufficiency hospitalization. 62-year-old female dizzy, brave language, no matter what time 6 hours