摘要
目的总结误诊为消化系统疾病的急性心肌梗死的诊治体会,降低其误诊率。方法对2013年12月1日-2016年7月25日收治武汉大学人民医院误诊为消化系统疾病的急性心肌梗死的23例患者临床资料进行回顾性分析。结果误诊为消化系统症状的急性心肌梗死以腹痛最常见,其他误诊症状有呃逆、咽痛、胸骨后疼痛、发热、呕吐、呕血、黑便。结论临床上重视现病史、既往史及家族史资料采集,提高诊断思维,对于可疑的上腹痛患者常规完善重复多次心肌酶谱及多次心电图检查,预防心肌梗死的误诊,为心肌梗死患者争取治疗时间。
Objective To conclude the experiences of misdiagnosing acute myocardial infarction as gastrointestinal diseases, and reduce the misdiagnostic rate. Methods From 1st Dee. 2013 to 25th Jul. 2016, there were 23 cases of a- cute myocardial infarction misdiagnosed as gastrointestinal diseases were retrospectively analyzed. Results The most common symptom of acute myocardial infarction with gastrointestinal symptoms as chief manifestation was abdominal pain, other symptoms included hiccup singultation, sore throat, retrosternal pain, fever, vomiting, hematemesis and tarry stool. Conclusion We should pay attention to collect history of present illness, past medical history and family history, and patients whose reason of abdominal pain is unclear need repeat many times on myocardial enzymes and elec- trocardiogram to prevent the misdiagnosis of acute myocardial infarction, and make myocardial infarction patient treated as soon as possible.
出处
《胃肠病学和肝病学杂志》
CAS
2016年第12期1360-1361,共2页
Chinese Journal of Gastroenterology and Hepatology
关键词
消化系统症状
急性心肌梗死
误诊
Gastrointestinal symptoms
Myocardial infarction
Misdiagnosis
