32例急性冠脉综合征患者误诊分析及防范措施  

Misdiagnosis Analysis and Prevention Measures of 32 Cases with Acute Coronary Syndrome

作　　者：梁明[1] 陈星[1] 丛云峰[1] 

机构地区：[1]黑龙江省医院南岗院区急救中心,黑龙江哈尔滨150000

出　　处：《中国卫生产业》2016年第16期57-59,共3页China Health Industry

摘　　要：目的探讨急性冠脉综合征患者的临床误诊情况及防范措施。方法该研究选择2014年12月1日—2016年1月1日之间,在该院收治的急性冠脉综合征患者32例,对其进行临床诊断,提高对急性冠脉综合征的认识,减少误诊。结果 32例患者入院时误诊为心力衰竭的患者有5例,急性胰腺炎的患者5例,急性胃肠炎的患者有4例,急性咽炎患者2例,肋间神经痛患者5例,脑梗死患者3例,高血压性心脏病患者2例,频发室性早搏患者1例,急性胆囊炎患者5例。结论临床上患发急性冠脉综合征的误诊原因具有高度的复杂性和多样性,详细的对患者的病史进行分析,对于特殊临床症状不明显的患者极为重要,同时仔细监测动态的心肌损伤标志物和心电图在一定程度上会显著降低误诊率。Objective To discuss the clinical misdiagnosis analysis and prevention measures of patients with acute coronary syndrome. Methods 32 cases of patients with acute coronary syndrome admitted and treated in our hospital from December1, 2014 to January 1, 2016 were selected and were given clinical diagnosis thus improving the recognition of acute coronary syndrome and reduce the misdiagnosis. Results On admission, 5 cases were misdiagnosed with heart failure, 5 cases were misdiagnosed with acute pancreatitis, 4 cases were misdiagnosed with acute gastroenteritis, 2 cases were misdiagnosed with acpuei pharyngitis, 5 cases were misdiagnosed with intercostal neuralgia, 3 cases were misdiagnosed with cerebral infarction, 2 cases were misdiagnosed with hypertensive cardiopathy, 1 case was misdiagnosed with frequent ventricular premature beat, and 5 cases were misdiagnosed with acute cholecystitis. Conclusion In clinic, the misdiagnosis causes of acute coronary syndromehas are highly complex and diverse, the detailed analysis of patient＇s disease history is vital to the patients without obvious and special clinical symptoms, at the same time, the careful monitoring of dynamic cardiac injury markers and electrocardiograms can obviously reduce the misdiagnosis rate to a certain degree.

关 键 词：急性冠脉综合征 误诊分析 防范措施 

分 类 号：R595[医药卫生—内科学]