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急性心肌梗塞病死率较高,早期正确诊断和及时监护治疗,无疑有重要意义。近5年来我们共收治急性心肌梗塞10例,竟有9例在入院时误诊为其他疾病或漏诊。为了吸取教训,提高早期正确诊断,现对本组病例作一分析。一、一般临床资料:本组男性8例,女性1例;年龄48~77岁,平均62岁,职业:农民3例,工人及教师各2例,干部及商贩各1例。二、梗塞部位:急性前间壁4例,其中1例合并心房梗塞;急性广泛前壁和急性下后壁各2例;急性后侧壁1例。
Acute myocardial infarction mortality is high, the early diagnosis and timely diagnosis and treatment, undoubtedly important. In the past five years, we received a total of 10 cases of acute myocardial infarction, as many as 9 cases misdiagnosed as other diseases or missed diagnosis on admission. In order to learn the lesson and improve the early correct diagnosis, now an analysis of this group of patients. First, the general clinical data: This group of 8 males and 1 females; aged 48 to 77 years old, average 62 years old, occupation: 3 farmers, 2 workers and teachers, cadres and traders in 1 case. Second, the infarction site: 4 cases of acute anterior wall, including 1 case of atrial infarction; acute extensive anterior and posterior wall in 2 cases; acute posterior wall in 1 case.