CAJ | 학술논문

目的：探讨基层医院急性心肌梗死（AMI）误诊原因及防范对策，以提高对 AMI 的认识和诊治水平。方法：回顾性分析2010年6月－2014年6月我院门急诊首诊误诊的26例 AMI 患者的临床资料。结果：误诊为呼吸系统疾病9例，其他心血管疾病8例，消化道疾病6例，泌尿系结石肾绞痛、颈椎病、肩周炎各1例；5例在门急诊发生猝死。结论：AMI的临床表现复杂多样，容易误诊，加强对AMI的认识，规范诊疗过程，可提高其诊治水平，降低误诊率及死亡率。
목적：탐토기층의원급성심기경사（AMI）오진원인급방범대책，이제고대 AMI 적인식화진치수평。방법：회고성분석2010년6월－2014년6월아원문급진수진오진적26례 AMI 환자적림상자료。결과：오진위호흡계통질병9례，기타심혈관질병8례，소화도질병6례，비뇨계결석신교통、경추병、견주염각1례；5례재문급진발생졸사。결론：AMI적림상표현복잡다양，용역오진，가강대AMI적인식，규범진료과정，가제고기진치수평，강저오진솔급사망솔。
Objective:To explore the misdiagnosis causes and prevent measures of patients with acute myocardial infarction (AMI) in basic hospital to improve the cognition and the levels of diagnosis and treatment of AMI. Method: The clinical data of 26 misdiagnosed patients with AMI were analyzed retrospectively from Jun 2010 to Jun 2014 in the department of out-patient and emergency. Results:Among the 26 cases,9 cases were misdiagnosed as respiratory system diseases,8 cases were misdiagnosed as other cardiovascular diseases, 6 cases were misdiagnosed as digestive diseases, and 1 case was misdiagnosed as urinary stone, neck and shoulder disease respectively. 5 patients with misdiagnosed AMI were sudden death at department of out-patient and emergency. Conclusion:It is complication to symptoms of patients with AMI and to misdiagnosis easily. Enhancing the realization and standardizing process of the diagnosis and treatment may raise the levels of the diagnosis and treatment and decrease the rate of misdiagnosis and death of AMI.