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目的:探讨急性重症心肌炎误诊为急性心肌梗死(AMI)的原因。方法:急性重症心肌炎患者与急性AMI患者进行鉴别。结果:急性重症病毒性心肌炎因为有胸痛、心电图异常和心肌酶升高,与急性心肌梗塞非常相似,往往被误诊为急性心肌梗塞。结论:对酷似急性心肌梗死的急性重症病毒性心肌炎必须认真询问病史,仔细体格检查及分析心电图,进一步做冠脉造影以减少误诊。
Objective: To investigate the causes of misdiagnosis of acute myocardial infarction as acute myocardial infarction (AMI). Methods: Patients with acute severe myocarditis and acute AMI patients were identified. Results: Acute severe viral myocarditis is often misdiagnosed as acute myocardial infarction due to chest pain, abnormal electrocardiogram and elevated myocardial enzymes, which is very similar to acute myocardial infarction. Conclusion: Acute severe viral myocarditis resembling acute myocardial infarction must be carefully asked history, careful physical examination and analysis of ECG, further coronary angiography to reduce misdiagnosis.