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目的探讨老年心力衰竭的误诊原因。方法对2002年6月至2005年6月40例老年心力衰竭的临床资料进行分析总结,包括基础病因,临床表现及误诊进行分析。结果误诊为慢性支气管炎18例,冠心病心绞痛10例,慢性胃炎6例,脑血管病或老年精神异常4例,慢性肾功能不全2例,误诊率为17.6%。结论老年人因全身各系统器官在形态、结构及功能上发生改变,易导致心衰,且心衰发生后临床表现多不典型,常缺乏特异性,误诊率较高,当老年患者出现可疑心衰症状时,应高度警惕心衰的发生,及时进行相关检查,以获得早期诊断和及时治疗。
Objective To investigate the causes of misdiagnosis of heart failure in the elderly. Methods From June 2002 to June 2005 40 cases of elderly patients with heart failure were analyzed and summarized, including the basic etiology, clinical manifestations and misdiagnosis. Results Misdiagnosed as chronic bronchitis in 18 cases, 10 cases of coronary heart disease angina, chronic gastritis in 6 cases, cerebrovascular disease or senile mental abnormalities in 4 cases, chronic renal insufficiency in 2 cases, misdiagnosis rate was 17.6%. CONCLUSIONS: Elderly people may experience heart failure due to changes in morphology, structure and function of various organs in the body. Clinical manifestations of the elderly are often atypical, often lack of specificity, and their misdiagnosis rates are high. When senile patients have suspicious heart disease Symptoms of failure, should be highly alert to the occurrence of heart failure, timely inspection, in order to obtain early diagnosis and timely treatment.