58例心血管疾病误诊原因分析

Reasons for misdiagnosis of cardiovascular diseases: an analysis of 58 cases

目的探讨临床心血管疾病误诊原因。方法回顾性分析我院2007年3月至2011年3月误诊的58例心血管疾病原因。结果 58例患者中有22例误诊为消化系统疾病,14例被误诊为肺部疾病,另有7例风湿性心脏病病人被误诊为肺部感染,8例心肌病病人误诊为慢性肺源性心脏病,7例心源性晕??厥病人误诊为脑血管病等。结论通过对58例心血管病人误诊原因分析,我们认为临床上将心血管疾病误诊为其他疾病的病例很多,但只要详细询问病史,认真体格检查,不忽视必要的辅助检查,并且严密观察疾病的发生、发展及演变,作出综合判断就可以减少或避免误诊。

Objective To investigate the reasons for clinical misdiagnosis of cardiovascular diseases. Methods Retrospective analysis was performed on 58 cases of cardiovascular diseases who were misdiagnosed as other diseases in our hospital from March 2007 to March 2011 to investigate the reasons for misdiagnosis. Results In the 58 cases, 22 were misdiagnosed as digestive system diseases, and ld as lung diseases; in addition, seven cases of rheumatic heart disease were misdiagnosed as pulmonary infection, eight cases of cardiomyopathy as chronic pulmonary heart disease, and seven cases of cardiogenic syncope as cerebrovascular diseases. Conclusion Cardiovascular diseases are often misdiagnosed as other diseases, but misdiagnosis can be reduced or avoided by inquiry of detailed medical history, careful physical examination, necessary auxiliary examination, close observation of disease occurrence, development, and evolution, and comprehensive judgment.