中国全科医学2012，Vol.15Issue(12)：1380-1382,3.
急性主动脉夹层误诊为急性心肌梗死临床分析
Clinical Analysis of Acute Aortic Dissection Misdiagnosed as Acute Myocardial Infarction
葛洪霞 1郑亚安 1马青变1
作者信息
- 1. 100191,北京市,北京大学第三医院急诊科
- 折叠
摘要
Abstract
Objective To analyze patients of acute aortic dissection misdiagnosed as acute myocardial infarction to improve the cognition of acute aortic dissection and reduce misdiagnosis. Methods 4 patients of acute aortic dissection misdiagnosed as acute myocardial infarction in Peking university third hospital from 2001 to 2010 were collected, and their clinical presentation , laboratory testing, diagnosis and treatment were retrospectively analyzed. Results 4 patients were all misdiagnosed. The initial symptom of the 4 cases was chest pain. The electrocardiogram of 3 patients showed ST - segment elevation. The other electrocardiogram showed ST - segment depression. The creatine kinase - MB elevated in one patient, and normal in other 3 patients. 4 patients were all given anti - platelet medicine. 3 patients were given coronary angiography. 4 patients all died. Conclusion When the initial symptom of acute aortic dissection presents chest pain and the electrocardiogram shows ischemic or injury changes, it is likely to be misdiagnosed as acute myocardial infarction and is given improper therapy. The mortality is high and the differential diagnosis should be emphasized.关键词
动脉瘤,夹层/心肌梗死/误诊Key words
Aneurysm, dissecting/ Myocardial infarction/ Diagnostic errors分类
医药卫生引用本文复制引用
葛洪霞,郑亚安,马青变..急性主动脉夹层误诊为急性心肌梗死临床分析[J].中国全科医学,2012,15(12):1380-1382,3.
