急性心肌梗死是临床上常见的急诊,随着老年人口的不断增加和疾病谱的变化,急性心肌梗死的病例近年来有所增加。典型病例在临床上很容易诊断,但在基层卫生院,由于缺少心肌酶学、肌钙蛋白检查条件和临床医生思维能力局限等原因常易引起误诊,尤其是老年人不典型表现者更易引起误诊。笔者就近年来在卫生院临床中遇到的3例急性心肌梗死病例报道如下,供基层卫生院同仁在临床工作中参考。 Acute myocardial infarction is a clinically common emergency. As the population of the elderly increases and the spectrum of the disease changes, the number of cases of acute myocardial infarction has increased in recent years. Typical cases are clinically very easy to diagnose. However, in primary health care institutions, misdiagnosis is often caused by lack of myocardial enzymology, troponin test conditions, and limitations of clinicians’ thinking ability. In particular, elderly atypical patients are more likely to be misdiagnosed . In recent years, I encountered in clinical hospitals in the case of 3 cases of acute myocardial infarction reported below, for colleagues in primary health clinics in clinical work for reference.