Abstract: The treatment of acute ST-segment elevation myocardial infarction (STEMI) is highly urgent and risky. Consequently, related medical dispute cases are often highly contentious and specialized. To better protect patient rights and improve the success rate of claims, pinpointing medical malpractice is crucial. This study employs empirical analysis to identify frequent errors in medical behavior, such as procedural violations, subjective diagnostic errors, and failures to fulfill informed consent obligations. By addressing these identification challenges, the likelihood of successful claims can be increased, thereby maximizing the protection of patient rights. Therefore, claims for acute STEMI should be grounded in judicial appraisal rules and clinical practice guidelines, adhering to the principles of precise fault identification and legal accountability, to efficiently uphold patient rights and resolve doctor-patient conflicts.

Key words: acute ST-segment elevation myocardial infarction (STEMI), fault type, causative force

摘要： 急性ST段抬高型心肌梗死的救治具有极强的紧迫性和风险性,由此产生的医疗纠纷案件相应也具备激烈的冲突性和专业性。为了最大限度维护患者权益，提高索赔的成功率，应当将识别医方过错行为作为索赔成功的关键。通过实证分析的方法将医疗过程的违规行为、主观过错、未履行告知义务过错中的多发过错行为进行筛检和解析，可以解决识别的难题并提高索赔成功的概率，最大程度维护患者权益。因此，急性ST段抬高型心肌梗死的索赔应当以司法鉴定规则、诊疗规范为标准，遵循精准识别、依法归责的原则，才能有效化解医患矛盾。

关键词: 急性ST段抬高型心肌梗死, 过错类型, 原因力