论文部分内容阅读
目的探讨心电图ST段抬高误诊为急性心肌梗死的原因。方法对15例因ST段抬高被误诊为急性心肌梗死患者的临床资料进行回顾性分析。结果 15例患者中变异性心绞痛4例,肺栓塞4例,早期复极3例,室壁瘤2例,急性心肌炎1例,心肌病1例。结论临床上有多种原因可引起心电图ST段抬高改变,诊断时应密切结合临床资料进行综合分析,以免盲目的诊断为急性心肌梗死,造成误诊、误治。
Objective To investigate the causes of misdiagnosis of ST segment elevation in ECG as acute myocardial infarction. Methods The clinical data of 15 patients who were misdiagnosed as acute myocardial infarction due to ST segment elevation were analyzed retrospectively. Results Among the 15 patients, there were 4 cases of variant angina, 4 cases of pulmonary embolism, 3 cases of early repolarization, 2 cases of aneurysm, 1 case of acute myocarditis and 1 case of cardiomyopathy. Conclusion There are many reasons for the clinical ST segment elevation can lead to ECG changes, the diagnosis should be combined with clinical data for a comprehensive analysis to avoid blind diagnosis of acute myocardial infarction, resulting in misdiagnosis and mistreatment.