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目的选择对2004年~2013年近10年在我院首诊心电图误诊为急性心肌梗死的21例患者，分析其诊断结果，探讨误诊为急性心肌梗死可能引起的相关性原因；方法采用回顾性分析的方法，对误诊为急性心肌梗死的原因进行系统分析；结果心电图误诊为急性心肌梗死的主要疾病有：早期复极综合征6例、病毒性心肌炎4例、主动脉夹层3例、肺栓塞2例、严重肺心病2例、急腹症2例、急性心包炎1例、急性脑血管意外1例；结论全面辩证分析患者的病情资料，及时进行血清心肌标记生化物、心脏彩超、X线胸片等相关检查，密切观察心电图动态变化，减少临床误诊率。“,”Objective Selection of 2004~2013 year nearly ten years in our hospital patients electrocardiogram of the 21 patients misdiagnosed as acute myocardial infarction (mi),analyze its diagnosis, investigate the relationship between misdiagnosed as acute myocardial infarction may cause reason. Methods By using the method of retrospective analysis of the causes of misdiagnosed as acute myocardial infarction system analysis. Results A disease of the electrocardiogram (ecg)misdiagnosed as acute myocardial infarction:6 patients with early bipolar syndrome,viral myocarditis in 4 cases,3 cases of aortic dissection,pulmonary embolism in 2 cases,severe cor pulmonale in 2 cases,2 cases of acute abdominal pain,1 case of acute pericarditis,1 case of acute cerebrovascular accident. Conclusion Overal dialectical to analyze the data of the patient,in a timely manner of serum cardiac markers and biochemical,heart colour to exceed,X-ray chest radiograph and related inspection, closely observe ecg dynamic change,reduce the clinical misdiagnosis rate.