老年左心室射血分数保留的心力衰竭40例误诊分析

40 Cases of Misdiagnosis of Aged Patients with Heart Failure Left Ventricular Ejection Fraction Retained

目的探讨老年左心室射血分数保留的心力衰竭(HFPEF)误诊原因。方法收集我科住院老年HFPEF的误诊病例40例,对其基础病因、临床表现及误诊情况进行临床分析。结果本组老年HFPEF中有26例(65.0%)的患者被误诊为呼吸系统疾病,7例(17.5%)患者被误诊为脑血管疾病,6例(15.0%)患者被误诊为精神系统疾病,6例(15.0%)患者被误诊为消化系统疾病。结论老年HFPEF患者病情隐匿。常因多种疾病并存而掩盖心力衰竭症状。故临床医师应提高警惕,避免误诊误治。

Objective To discuss the reason of misdiagnose of seniors′ left vertricle heart failure with preserved ejection fraction（HFPEF）.Methods 40 cases of misdiagnosed senior HFPEF patients in our hospital were collected,their basic pathogen clinical behaviors and misdiagnosed situations were analyzed.Results 65.0% patients of HFPEF were misdiagnosed as respiratory system disease.17.5%patients of HFPEF were misdiagnosed as cerebrovascalar disease.15.0%patients of HFPEF were misdiagnosed as psychological system disease.15.0% patients of HFPEF were misdiagnosed as digestive system disease.Conclusion Occult disease in patients aged HFNEF.Often to cover up because of the coexistence of various diseases of heart failure symptoms.Therefore,clinicians should be vigilant to avoid misdiagnosis.