CAJ | 학술논문

目的就基层医院急性心肌梗死误诊进行观察与分析。方法选取我院2010年11月~2013年11月所收治的30例急性心肌梗死误诊患者，均为首次发病，回顾性观察与分析本组30例急性心肌梗死误诊患者的相关病历资料。结果30例急性心肌梗死误诊患者误诊为1例肩周炎、3例循环系统疾病、10例消化系统疾病、6例呼吸系统疾病、5例神经系统疾病。结论急性心肌梗死患者在临床上具有多样化表现的特点，进行综合性判断，特别是要慎重诊断临床症状不典型者，尽量降低误诊率。
목적취기층의원급성심기경사오진진행관찰여분석。방법선취아원2010년11월~2013년11월소수치적30례급성심기경사오진환자，균위수차발병，회고성관찰여분석본조30례급성심기경사오진환자적상관병력자료。결과30례급성심기경사오진환자오진위1례견주염、3례순배계통질병、10례소화계통질병、6례호흡계통질병、5례신경계통질병。결론급성심기경사환자재림상상구유다양화표현적특점，진행종합성판단，특별시요신중진단림상증상불전형자，진량강저오진솔。
Objective Through the observation and analysis of misdiagnosis of acute myocardial infarction in primary hospital. Methods 30 patients with acute myocardial infarction in our hospital from 2010 November to 2013 of November were, are the first onset, retrospective observation and analysis of the group of 30 patients with acute myocardial infarction were misdiagnosed the relevant medical records. Results 30 cases of acute myocardial infarction patients misdiagnosed as 1 cases of scapulohumeral periarthritis, 3 cases of diseases of the circulatory system, digestive system diseases 10 cases, 6 cases of respiratory diseases, 5 cases of nervous system diseases. Conclusion The feature of patients with acute myocardial infarction with diversification in the clinical manifestations, comprehensive judgment, especial y careful diagnosis of atypical clinical symptoms, reduce the rate of misdiagnosis.