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原发性心肌病由于其临床表现和辅助检查缺乏特异性,故易造成误诊。现择典型病例四例,分析误诊原因如下。 例1:女,22岁。劳动后心悸气促两年,四月前加剧,并有腹胀及下肢水肿,不能平卧,门诊以“大量心包积液”收入院。体查:体温37.5℃、脉搏120次、血压110/70。口唇紫绀,颈静脉怒张,心尖搏动微弱,心界向两侧明显扩大,心音遥远,强弱快慢不等,心尖区Ⅱ级收缩期吹风样杂音,有奇脉。腹膨
Primary cardiomyopathy due to its clinical manifestations and laboratory tests lack specificity, it is easy to cause misdiagnosis. Now choose four cases of typical cases, misdiagnosis of the following reasons. Example 1: Female, 22 years old. After work palpitations breathlessness for two years, increased in April, and abdominal distension and lower extremity edema, can not be supine, out-patient to “a large number of pericardial effusion” income homes. Physical examination: body temperature 37.5 ℃, pulse 120 times, blood pressure 110/70. Lipped cyanosis, jugular vein engorgement, weak apex pulsation, the heart to both sides of the obvious expansion, distant heart sounds, strength and weakness vary, apical Ⅱ grade systolic hair-like murmurs, there Qi. Abdominal bulge