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原发性充血型心肌病临床表现缺乏特异性,误诊率很高.本文结合具体病例,就其常见误诊原因简略分析如下. 一、误诊为冠心病例1:周某,男,36岁,干部.1975年8月始劳动后心悸气短、心前区不适.1978年6月,因反复晕厥在某医院做心电图检查,示阵发性室性心动过速,诊断为冠心病.长期服用硝酸甘油、潘生丁等,症状不见改善.1981年4月入本院.检查:心界向左扩大,第一心音低钝.心电图检查示偶发室
First, the misdiagnosed as coronary heart disease cases 1: Zhou, male, 36 years old, cadre August 1975 after the start of work palpitations shortness of breath, precordial discomfort in June 1978, because of repeated syncope in a hospital to do ECG, showed paroxysmal ventricular tachycardia, diagnosis of coronary heart disease. Long-term use of nitroglycerin , Dipyridamole, etc., the symptoms did not improve .In April 1981 into the hospital.Check: heart to the left to expand, the first heart sound low blunt.Electrocardiogram showed sporadic room