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笔者根据我院多年来所收治的AMI病人中误诊病例及有关文献报道,将基层AMI常见误诊的种种原因归纳如下,以供基层医院同道们在工作中借鉴。 1 临床资料 我院自1985～1992年底共收治AMI病人21例,误诊16例,误诊率为76.2％。另有部分猝死病例,死因不明,故实际误诊率还要高些。 1.1 误诊一般情况:误诊16例,其中男12例,女4例。60岁以上5人,50～60岁7人,40～50岁2人,小于40岁2人。其中最大年龄82岁,最小年龄21岁。 1.2 误诊疾病:肺心病2例,肺部感染1例,支气管哮喘1例,消化道溃疡3例,胃肠炎1例,高血
Based on the cases of misdiagnosis and related literatures reported by AMI patients in our hospital over the years, the author summarized the common misdiagnosis of AMI at the grass-roots level as follows for the reference of grassroots hospital fellow in the work. 1 clinical data in our hospital since 1985 ~ 1992 were treated 21 cases of AMI patients, 16 cases were misdiagnosed, the misdiagnosis rate was 76.2%. Another case of sudden death, the cause of death is unknown, so the actual misdiagnosis rate even higher. 1.1 misdiagnosis of the general situation: misdiagnosed 16 cases, of which 12 males and 4 females. 5 people over the age of 60, 50 to 60 years old 7, 40 to 50 years old 2, less than 40 years old 2 people. The oldest is 82 years old and the youngest is 21 years old. 1.2 misdiagnosis of disease: 2 cases of pulmonary heart disease, pulmonary infection in 1 case, bronchial asthma in 1 case, 3 cases of gastrointestinal ulcers, 1 case of gastroenteritis, high blood