| 32例慢性充血性心力衰竭合并肺栓塞临床误诊分析 |
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| 引用本文： | 王树岩,马立群,陈瑾,那开宪.32例慢性充血性心力衰竭合并肺栓塞临床误诊分析[J].中国医药导刊,2006,8(4):251-252. |
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| 作者姓名： | 王树岩 马立群 陈瑾 那开宪 |
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| 作者单位： | 首都医科大学附属北京朝阳医院心脏中心,北京,100020 |
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| 摘 要： | 目的:总结32慢性充血性心力衰竭(CHF)合并肺栓塞患者临床资料,分析误诊原因,提高肺栓塞的诊断率,降低误诊率。方法:对32例CHF合并肺栓塞患者临床资料进行回顾性分析。结果:15例(46．9％)入院时误诊为冠心病、CHF、症状加重,10例(31．2％)误诊为肺部感染,3例(9．4％)误诊为肺心病及右CHF。结论:CHF合并肺栓塞临床表现是非特异性的,临床症状、体征结合实验室检查综合分析有利降低肺栓塞的误诊率。
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| 关 键 词： | 肺栓塞 慢性充血性心力衰竭 误诊 |
| 文章编号： | 1009-0959(2006)04-0251-02 |
An Analysis of Misdiagnosis for 32 Patients with Chronic Congestive Heart Failure and Pulmonary Embolism |
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| Wang Shu -yan, Ma Li - qun, Chen Jin,et al..An Analysis of Misdiagnosis for 32 Patients with Chronic Congestive Heart Failure and Pulmonary Embolism[J].Chinese Journal of Medicinal Guide,2006,8(4):251-252. |
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| Authors: | Wang Shu -yan Ma Li - qun Chen Jin |
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| Institution: | Department of Cardiology, Beijing Chaoyang Hospital, Capital Medical university, Beijing 100020, China |
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| Abstract: | Objective:To discover reasons for misdiagnosis of pulmonary embolism in patients with chronic congestive heart failure(CHF) with the aim at reducing the misdiagnosis rate of pulmonary embolism. Methods: Retrospective study was conducted to analyze the clinical characteristics of 32 patients with CHF accompanied by pulmonary embolism. Results: 15cases (46.9%) were misdiag-nosed as coronary artery disease or acute left heart failure among 32 patients. 10 cases (31.2% ) were misdiagnosed as pulmonary infection.3 cases (9.4%) were misdiagnosed as pneumocardial disease or right heart failure.Conclusion: The clinical manifestation of CHF accompanied by pulmonary embolism is nonspecific. It would be helpful to aggregate analyze all information on clinical symptoms and physical signs and laboratory examinations to reduce the misdiagnosis rate of pulmonary embolism. |
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| Keywords: | pulmonary embolism chronic congestive heart failure misdiagnosis |
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