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目的 探索肺源性心脏病 (肺心病 )并老年性退行性心瓣膜病的诊断与治疗方法。方法 通过8年来收治的肺心病病人 ,选择其中 35例并老年性退行性心瓣膜病病人 ,对其在诊疗过程的情况进行分析 ,主要分析漏诊或误诊的原因。结果 入院时诊断肺心病并老年性退行性心瓣膜病 14例 ,单纯肺心病 10例 ,肺心病并冠心病 6例 ,肺心病并风湿性心脏病 3例 ,肺心病并扩张型心肌病 2例。漏诊率 2 8 6 % ,误诊率2 5 7%。结论 肺心病与老年性退行性心瓣膜病并存时 ,病情更加严重且复杂 ,增加诊断及治疗上的困难。肺心病要常规做心脏超声波检查 ,可减少漏诊与误诊。
Objective To explore the diagnosis and treatment of pulmonary heart disease (pulmonary heart disease) and senile degenerative heart valve disease. Methods A total of 35 patients with senile degenerative valvular heart disease were selected from patients with pulmonary heart disease admitted for 8 years. The cases of their diagnosis and treatment were analyzed, and the causes of missed diagnosis or misdiagnosis were analyzed. Results On admission, 14 cases of pulmonary heart disease with senile degenerative valvular heart disease, 10 cases of simple pulmonary heart disease, 6 cases of pulmonary heart disease and coronary heart disease, 3 cases of pulmonary heart disease and rheumatic heart disease, 2 cases of pulmonary heart disease and dilated cardiomyopathy . Misdiagnosis rate was 286% and misdiagnosis rate was 25.7%. Conclusion Pulmonary heart disease and senile degenerative valvular disease co-exist, the condition is more serious and complex, increase the diagnosis and treatment difficulties. Pulmonary heart disease to do conventional heart ultrasound, can reduce the missed diagnosis and misdiagnosis.