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急性心肌梗塞(AMI)不典型者已被人们逐渐认识,但某些表现特殊者仍易误诊。现将我们误诊的5例60岁以上的 AMI 报告如下。一、以尿潴留为突出表现,误诊为前列腺增生症例1:男,63岁。因生气后排尿困难、下腹胀疼8小时入院。无胸疼、胸闷。既往健康。查体;血压13.3/8KPa,脉搏100次/分。神志清,痛苦貌,双肺呼吸音粗糙;心界无扩大,心率100次/分,律齐,心音低钝,A_2>P_2;下腹部稍膨隆,叩浊。初诊前列腺增生症并急性尿潴留。立即行导尿术,导出尿液约1000毫升,插管过程中无
People with atypia of acute myocardial infarction (AMI) have been gradually recognized, but some people with special characteristics are still misdiagnosed. We now misdiagnosed 5 cases of AMI over the age of 60 reported as follows. First, the prominent performance of urinary retention, misdiagnosed as benign prostatic hyperplasia cases 1: male, 63 years old. Due to dysuria after angina, lower abdominal pain and pain 8 hours admission. No chest pain, chest tightness. Past health. Physical examination; blood pressure 13.3 / 8KPa, pulse 100 beats / min. Consciousness, painful appearance, rough lung sounds; no expansion of the heart, the heart rate 100 beats / min, law Qi, heart sound low blunt, A_2> P_2; lower abdomen slightly bulging, turbid turbidity. Prostate hyperplasia and acute urinary retention. Immediate catheterization, urine derived about 1000 ml, intubation process without