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目的分析以异位疼痛为首发表现的急性心肌梗死(AMI)患者临床诊断过程中误诊发生的主要原因,探讨诊断要点。方法:选择2014年5月-2016年7月期间本院收治的25例首发症状表现为异位疼痛的AMI患者的临床诊治资料进行回顾性分析。结果:25例患者在诊断过程中均被误诊,其中,有6例被误诊为急性胆囊炎,5例为急性胃炎,3例为急性胃溃疡、4例为颈椎病,急性咽炎、急性胆囊炎并胆结石各为2例,急性牙髓炎、肌纤维组织炎、肩周炎各为1例。结论:对以异位疼痛为首发症状,且对其实施症处理后未见明显效果的患者,患有a Mi的概率较大,须高度重视。
Objective To analyze the main causes of misdiagnosis during the clinical diagnosis of patients with acute myocardial infarction (AMI) presenting with ectopic pain and to discuss the main points of diagnosis. Methods: A retrospective analysis was performed on the clinical data of 25 AMI patients with initial symptoms of ectopic pain admitted to our hospital from May 2014 to July 2016. Results: Twenty-five patients were misdiagnosed during the diagnosis. Among them, 6 were misdiagnosed as acute cholecystitis, 5 as acute gastritis, 3 as acute gastric ulcer, 4 as cervical spondylosis, acute pharyngitis, acute cholecystitis And gallstone in 2 cases, acute pulpitis, myofibrillar inflammation, frozen shoulder in 1 case. CONCLUSIONS: Patients with ectopic pain as the first symptom and no significant effect after treatment of the disease should have a high probability of a Mi and should be highly valued.