老年急性心肌梗死特殊症状及其误诊原因分析  

Analysis of Misdiagnosis Causes and the Special Symptoms of Acute Myocardial Infarction in Aged Patients

作　　者：栗浩[1] 钱春丽[1] 丁彦利[2] 

机构地区：[1]河南省漯河市中心医院心电生理室,462000 [2]河南省漯河市第三人民医院电生理室

出　　处：《中华全科医学》2008年第10期1035-1036,共2页Chinese Journal of General Practice

摘　　要：目的分析老年(≥60岁)急性心肌梗死(AMI)特殊症状形成及误诊原因。方法回顾分析本院近年来35例特殊症状老年AMI的临床资料,从年龄组成、症状体征、梗死部位、误诊情况进行分析对比。结果老年人因神经退行性病变,合并多种慢性病等原因极易出现特殊症状AMI,再加上医务人员专业有别,误诊率很高。结论医务人员应提高对老年AMI临床表现多样性的认识,避免误诊。Objective To analyse the misdiagnosis causes and the special symptoms of acute myocardial infarction（AMI） in aged patients（ ≥60 years old）. Methods Clinical date （age, symptom, infarction position and misdiagnosis causes） of 35 aged AMI patients with special symptoms was analyzed retrospectively. Results Because of the degenerative nerve disease and many chronic diseases,the aged AMI patients usually had some special symptoms, so it＇ s misdiagnosis rate was high. Conclusions Doctors should enhance knowledge of the special symptoms of AMI, so as to avoid the misdiagnosis.

关 键 词：心肌梗死 形成 误诊 原因 

分 类 号：R542.22[医药卫生—心血管疾病]