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非特异性临床症状的急性心肌梗死误诊分析 被引量:2

Misdiagnosis of acute myocardial infarction with non-specific clinical symptoms
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摘要 目的:分析非特异性临床症状的急性心肌梗死(AMI)误诊原因。方法对32例非特异性临床症状的 AMI 误诊患者的临床资料进行回顾性分析,分析非特异性临床症状的 AMI 误诊原因。结果32例AMI 误诊患者,误诊为消化系统疾病10例,心血管系统疾病6例,呼吸系统疾病5例,耳鼻喉科疾病1 例,脑血管疾病4例,免疫系统疾病4例,内分泌系统疾病1 例,肩周炎1例。结论对不典型 AMI 患者的诊断要遵循循证医学,能在最短时间内获得正确地诊断以及最佳的治疗方案和治疗效果。对降低病死率,改善预后尤为重要。 Objective To analyze the causes of misdiagnosis of acute myocardial infarction(AMI)with non -specific clinical symptoms.Methods Clinical data of 32 cases of nonspecific clinical symptoms of AMI misdi-agnosis were collected retrospectively,and analyzed misdiagnosis reasons of nonspecific clinical symptoms of AMI. Results Of 32 AMI patients,10 cases were misdiagnosed as digestive system disease,6 cases of cardiovascular system diseases,respiratory diseases in 5 cases,otolaryngology disease in 1 case,4 cases of cerebrovascular disease, immune system disease in 4 cases,endocrine system disease 1 case,1 case of periarthritis of shoulder.Conclusion The diagnosis of atypical AMI patients should follow evidence -based medicine,it can get the correct diagnosis and the best treatment plan and treatment effect in the shortest time,and to reduce mortality and improve prognosis is par-ticularly important.
作者 韩宇东
出处 《中国基层医药》 CAS 2016年第18期2831-2834,共4页 Chinese Journal of Primary Medicine and Pharmacy
关键词 心肌梗死 延误诊断 Acute myocardial infarction Delayed diagnosis
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