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目的分析急性心肌梗塞的特殊症状类型及误诊原因,以便提高诊治成功率。方法回顾性分析2003年1月～2010年1月到我院门诊部就诊的34例症状不典型的急性心肌梗塞患者的资料,从年龄组成、症状、体征、梗塞部位、误诊情况进行分析。结果中老年人因神经退行性病变,在合并多种慢性病的情况下,一旦发生急性心肌梗塞,极易出现不典型的症状,而造成误诊。结论门诊部医务人员应当对中老年患者急性心肌梗塞多样性的症状有深入的认识,以免误诊误治造成严重后果。
Objective To analyze the types of special symptoms and causes of misdiagnosis in acute myocardial infarction in order to improve the success rate of diagnosis and treatment. Methods The data of 34 patients with atypical atypical acute myocardial infarction from January 2003 to January 2010 were retrospectively analyzed. The age, symptom, signs, infarction location and misdiagnosis were analyzed. Results In the elderly with neurodegenerative diseases, in the case of a variety of chronic diseases, acute myocardial infarction occurred, prone to atypical symptoms, resulting in misdiagnosis. Conclusion Outpatient medical staff should have a thorough understanding of the symptoms of acute myocardial infarction in middle-aged and elderly patients, so as to avoid misdiagnosis and mistreatment and cause serious consequences.