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目的探讨以晕厥为主要表现的急性心肌梗死误诊的原因,以降低误诊率。方法对连续收治的33例误诊病例的临床特点、心电图及误诊情况进行回顾性分析。结果心肌梗死部位下壁7例,下壁并右室16例,下壁并后壁5例,前壁3例,广泛前壁2例。结论误诊与以晕厥作为主要表现的急性心肌梗死较少见,询问病史及体查不仔细、不重视动态观察心电图、缺乏综合分析有关。
Objective To investigate the causes of misdiagnosis of acute myocardial infarction (syncope) as the main manifestation to reduce the misdiagnosis rate. Methods The clinical features, electrocardiogram and misdiagnosis of 33 consecutive cases of misdiagnosis were analyzed retrospectively. Results There were 7 cases of inferior myocardial infarction, 16 cases of inferior wall and right ventricle, 5 cases of inferior wall and posterior wall, 3 anterior wall and 2 anterior wall. Conclusion Misdiagnosis and syncope as the main manifestation of acute myocardial infarction is rare, ask the history and body check is not careful, do not pay attention to the dynamic observation of ECG, the lack of comprehensive analysis.