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随着医学科学的进展,心电图的广泛应用,对冠心病的诊断水平有了较大的提高。但是,我们在基层防病治病中,发现一部分植物神经机能失调患者,在症状上难以与冠心病鉴别,心电图也常伴有ST-T的改变,给临床诊断带来一定困难,往往误认为“冠心病”。这不仅给患者造成精神压力,而且在药物上也造成很大浪费。为进一步提高冠心病的诊断率,我们利用现有的设备条件,参阅有关文献,在近两年内,选用心得安试验,对冠心病与植物神经机能失调的鉴别诊断进行了临床观察。通
With the progress of medical science, the wide application of electrocardiogram has greatly improved the diagnosis of coronary heart disease. However, we found that some patients with autonomic dysfunction in the prevention and treatment of grass-roots diseases, the symptoms are difficult to identify with coronary heart disease, ECG is often accompanied by ST-T changes, clinical diagnosis to bring some difficulties, often mistaken for “Coronary heart disease.” This not only causes mental stress to the patient, but also causes a great waste in the medicine. To further improve the diagnostic rate of coronary heart disease, we use existing equipment conditions, refer to the literature, in the past two years, the use of propranolol test for coronary heart disease and autonomic dysfunction in the differential diagnosis of clinical observation. through