对我院收治急性心肌梗死误诊为糖尿病酮症1例分析如下。或胸骨后,呈压榨样痛,结合心电图及心肌酶谱的动态观察,诊断不难。起病症状不典型是引起误诊的主要原因。据统计有1病历摘要男,56岁。主因饮酒后频繁恶心、呕吐1d,加重2h,急诊观察,患者呕吐为胃内容物及黏液、非喷射状、上腹稍不适、无胸闷、胸痛、无腹痛腹泻等。患者有糖尿病病史10a,规律应用胰岛素治疗,血糖控制尚可,有神经性呕吐史2a,发 Acute myocardial infarction admitted to our hospital misdiagnosed as diabetic ketosis 1 case as follows. Or sternum, was squeezed pain, combined with the dynamic observation of ECG and myocardial enzymes, the diagnosis is not difficult. Atypical symptoms are the leading cause of misdiagnosis. According to statistics, there is a summary of medical records male, 56 years old. Mainly due to frequent nausea after drinking alcohol, vomiting 1d, aggravate 2h, emergency observation, patients with vomiting of gastric contents and mucus, non-jet, upper abdominal slightly discomfort, no chest tightness, chest pain, no abdominal pain and diarrhea. Patients with a history of diabetes 10a, regular application of insulin therapy, blood glucose control can still have a history of neurological vomiting 2a, hair