典型的急性心肌梗塞诊断是不困难的,在我们的临床实践中遇到有一些急性心肌梗塞其临床极不典型,因而造成诊断上的失误,贻误治疗。为此,现将我院近三年来漏、误诊病例25例加以分析,以便从中吸取教训。1 无痛性心梗4例 李××,男,62岁,突感胸闷不适2小时求诊,查体:血压15.6/9.6kPa,心率88次/分,律齐,心音弱,各瓣膜未闻及病理性杂音,既往无高血压糖尿病史。做心电图提示急性 A typical diagnosis of acute myocardial infarction is not difficult, in our clinical experience encountered some acute myocardial infarction clinical atypical, resulting in diagnostic errors, delaying the treatment. To this end, now my hospital missed the past three years, 25 cases misdiagnosed to be analyzed in order to learn from. 1 painless myocardial infarction in 4 cases Li × ×, male, 62 years old, sudden chest discomfort 2 hours consultation, physical examination: blood pressure 15.6 / 9.6kPa, heart rate 88 beats / min, law Qi, weak heart sounds, Smell and pathological murmur, no previous history of hypertension and diabetes. ECG prompts to do acute