误诊为支气管哮喘19例临床分析

Clinical analysis of 19 cases misdiagnosed as bronchial asthma

目的总结误诊为支气管哮喘的教训,积累支气管哮喘的鉴别诊断经验。方法分析19例患者误诊为支气管哮喘的诊治过程及纠正诊断的方法。结果进一步心电图、脑钠肽(BNP)、C反应蛋白、心脏超声等检查8例被诊为急性左心衰;经电子胃镜检查11例被诊为胃食管反流病。结论喘息症状不是哮喘病所独有的,鉴别诊断尤其重要。

Objective To summarize the lessons of misdiagnosed cases as bronchial asthma,and to accumulate experience in the differential diagnosis of bronchial asthma.Methods The diagnostic process and correct diagnostic methods of 19 cases misdiagnosed as bronchial asthma were retrospectively analyzed.Results 8 cases were diagnosed as acute left ventricular failure by further electrocardiogram,brain natriuretic peptide（BNP）,C reactive protein,and cardiac ultrasound examination.11 cases were diagnosed as gastroesophageal reflux disease by electronic gastroscopy.Conclusion Wheezing is not asthma-only symptom,then the differential diagnosis is especially important.