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目的浅析酷似急性前间壁心肌梗死心电图改变与急性前间壁心肌梗死的心电图鉴别诊断分析,提高诊断技术水平,减少误诊,提高诊断正确率。方法就近二十年来遇到300例属于非前间壁心肌梗死引起心电图波型进行分析。结果急性前间壁心梗在临床上发病高,但酷似前间壁心肌梗死心电图表现较为常见。结论酷似前间壁心肌梗死心电图改变临床上常见,为防止误诊误治,应密切结合临床症状、病史、发病年龄、病程等,根据心电图波型的变化进行详细诊治,防止误诊误治情况的发生。
Objective To analyze the differential diagnosis of electrocardiogram (ECG) resembling acute myocardial infarction (AMI) and acute anterior myocardial infarction (AMI), and to improve the diagnostic technique, reduce the misdiagnosis and improve the diagnosis accuracy. Methods Nearly two decades have encountered 300 cases of non-anterior myocardial infarction caused by ECG wave pattern analysis. Results Acute anterior myocardial infarction in the clinical incidence of high, but resembles the anterior myocardial infarction ECG performance is more common. Conclusions The changes of electrocardiogram in anterior wall myocardial infarction are common in clinical practice. To prevent the misdiagnosis and mistreatment, the clinic symptoms, medical history, age and course of disease should be closely combined to make a detailed diagnosis and treatment according to the changes of ECG wave patterns to prevent the misdiagnosis and mistreatment.