肥厚型心肌病46例初诊漏诊和误诊的分析  

An Analysis of 46 Cases with Hypertrophic Cardiomyopathy which was Misdiagnosed or Diagnosed Wrongly in its First to a Doctor

作　　者：李伟明[1] 吴家康[1] 杨永久 

机构地区：[1]上海铁道大学医学院附属铁路医院心内科,上海200072

出　　处：《上海铁道大学学报》2000年第3期52-54,共3页

摘　　要：目的　探讨肥厚型心肌病 (HCM)初诊时漏诊和误诊的状况及原因。方法　收集 2 3年来收治的 46例HCM患者的临床资料进行回顾性分析。结果　漏诊 2 2例 (漏诊率 47.8% ) ,主要是高血压病 (2例 )和冠心病 (1 9例 )。误诊 4例 (误诊率 8.7% )系将主动脉瓣狭窄等误诊为 HCM,经超声心动图检查予以剔除。结论　 HCM初诊时漏诊和误诊均较高 ,综合病史、临床资料以及超声心动图检查 。Objective To discuss the general data and its causes of hypertrophic cardiomyopathy(HCM) which were misdiagnosed, either omitting or making wrong diagnosis, at its first visit to a doctor.Methods 46 clinical cases of HCM in the past 23 years were collected in order to perform a retrospective analysis.Results 3 cases of HCM were missing, and 19 cases of HCM were misdiagnosed as coronary heart diseases and later confirmed by echocadiography. 4 cases of aortic valve stenosis were misdiagnosed as HCM and later eliminated by echocadiography.Conclusion Misdiagnosis of HCM, either omitting or making wrong diagnosis, is quite often at its first visit to a doctor. If we combine the history, clinical data and echocardiography, we may expect to reduce the rate of misdiagnosis.

关 键 词：肥厚型心病 漏诊 误诊 超声心动图 

分 类 号：R542.204[医药卫生—心血管疾病] R540.45[医药卫生—内科学]