急性心肌梗塞（AMI）典型病例一般诊断不准。但不典型者容易误漏诊，尤其是在基层诊所、卫生室等。现对门诊收治的一例以胃肠道症状为主的AMI误诊分析如下。1临床资料患者男，58岁。以上腹胀痛，伴恶心、呕吐前来就诊。既往有轻度胃病史，否认高血压病史。查体：T36．st，心率8 Typical cases of acute myocardial infarction (AMI) are not allowed to be diagnosed. However, atypical mistakes easily missed, especially in the primary clinics, clinics and so on. An outpatient clinic is now treated with gastrointestinal symptoms of AMI misdiagnosis as follows. 1 clinical data patient male, 58 years old. The above abdominal pain, with nausea, vomiting come to see a doctor. Past history of mild stomach, denied a history of hypertension. Physical examination: T36. st, heart rate 8