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典型的心肌梗塞诊断并不困难。但老年急性心肌梗塞症状常不典型,极易误诊漏诊,本文报告误诊4例供同道参考。例 1,崔××,男,66岁,住院号0152号,90年3月16日因牙痛到口腔科就诊,发现龋洞,按龋齿治疗疼痛无缓解,次日牙痛剧烈伴额面出汗。查心电图V_3～V_5示急性前壁心肌梗塞,酶学检查支持诊断,按AMI常规治疗30天痊愈出院,牙痛亦消失。
A typical diagnosis of myocardial infarction is not difficult. However, the symptoms of elderly acute myocardial infarction are often atypical, easily misdiagnosed and missed diagnosis, this article reports 4 cases of misdiagnosis for fellow reference. Case 1, Cui × ×, male, 66 years old, hospital number 0152, March 16, 90 due to toothache to dental treatment and found cavities, according to dental caries pain relief without pain, severe toothache the next day with sweat on his face . Check electrocardiogram V_3 ~ V_5 showed acute anterior myocardial infarction, enzymatic examination support diagnosis, according to AMI routine treatment of 30 days cured and discharged, toothache also disappeared.