摘要
目的探讨心尖球囊样综合征(apical ballooning syndrome,ABS)误诊为急性心肌梗死的原因及防范措施。方法对误诊为急性心肌梗死的ABS 5例的临床资料进行回顾性分析。结果本组分别因急性胸痛,间断胸痛并加重,剧烈胸痛、呼吸困难并昏厥,胸背部疼痛并加重及交替出现胸背部疼痛、咽部不适就诊,均曾误诊为急性心肌梗死,误诊时间2~4 d。5例按急性心肌梗死治疗效果均不佳,后皆通过冠状动脉及左心室造影检查等确诊ABS,予相应对症治疗后均病情好转出院。随访3个月~1年,5例均预后良好。结论 ABS缺乏特异性临床表现,易误诊。临床医生应提高对其临床表现及影像学检查结果的认识和了解,并加强警惕性,以减少或避免ABS误诊。
Objective To investigate the clinical of apical ballooning syndrome misdiagnosed as acute myocardial infarction,reduce the misdiagnosis rate and improve the diagnosis and treatment. Methods From January 2014 to January2016,30 patients with acute myocardial infarction were enrolled in this study. Five patients with acute myocardial infarction were selected. The clinical data were analyzed by retrospective analysis. Results In 5 cases of misdiagnosis,3 cases were treated with chest pain,1 case was treated by back pain,and 1 case with alternating back pain and pharyngeal discomfort,All cases were diagnosed as acute myocardial infarction by history and ECG examination. The average misdiagnosis time 2-4 d,5 patients were misdiagnosed by left ventricular angiography,cardiac ultrasound diagnosis and symptomatic treatment after discharge,discharged after 3 months to 1 year follow-up,5 patients with good prognosis no recurrence occurred. Conclusion Patients with apical spherical syndrome lack specific clinical symptoms and signs. Therefore,clinicians should improve the vigilance of apical spherical syndrome and enhance the understanding and understanding of clinical manifestations,signs and imaging findings of apical spherical syndrome. Or to avoid the occurrence of misdiagnosis of the disease,improve the doctor's diagnosis and treatment,improve the prognosis of patients.
出处
《临床误诊误治》
2018年第2期6-8,共3页
Clinical Misdiagnosis & Mistherapy
基金
陕西省自然科学基金项目(2013CB568)
关键词
心尖球囊样综合征
误诊
急性心肌梗死
Apical ballooning syndrome
Misdiagnosis
Myocardial infarction
