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目的回顾性分析老年人急性心肌梗死漏诊的原因,探讨杜绝老年人急性心肌梗死漏诊的措施及心电图检查的重要性。方法对2008-01-2010-06在甘肃省第二人民医院住院的老年人心电图资料进行回顾性分析。结果急性心肌梗死漏诊12例,第一诊断慢阻肺急性加重期6例,上消化道出血1例,急性胃肠炎2例,椎基底动脉供血不足3例。结论急性心肌梗死的症状不典型和原有疾病加重,患者和医生强调原有疾病的诊断和综合治疗效果是老年人急性心肌梗死漏诊的原因。
Objective To retrospectively analyze the causes of missed diagnosis of acute myocardial infarction (AMI) in the elderly and to explore the measures to prevent the missed diagnosis of AMI in the elderly and the importance of ECG examination. Methods Retrospective analysis of electrocardiogram data of elderly hospitalized in Second People ’s Hospital of Gansu from January 2008 to June 2010 was performed. Results Acute myocardial infarction was missed in 12 cases. The first diagnosis of acute exacerbation of chronic obstructive pulmonary disease in 6 cases, 1 case of upper gastrointestinal bleeding, 2 cases of acute gastroenteritis, vertebrobasilar insufficiency in 3 cases. Conclusion The symptoms of acute myocardial infarction are not typical and the original disease aggravate. Patients and doctors emphasize that the diagnosis and comprehensive treatment of the original disease are the causes of missed diagnosis of acute myocardial infarction in the elderly.