直背综合征误诊16例分析  

Analysis of 16 Misdiagnosed Patients with the Straight Back Syndrome

作　　者：许卫君[1] 王颍[1] 吕莉慧[1] 葛慧琍[1] 

机构地区：[1]南京军区南京总医院干部保健科,南京210002

出　　处：《临床误诊误治》2013年第2期36-38,共3页Clinical Misdiagnosis & Mistherapy

摘　　要：目的探讨直背综合征的临床特点及误诊原因,以提高诊断率。方法对1996年2月—2010年2月误诊的16例直背综合征的临床资料进行回顾性分析。结果此期间共诊断该病23例,首诊时误诊16例,误诊率69.57%,误诊为先天性心脏病房间隔缺损4例,心肌炎4例,风湿性心脏病二尖瓣关闭不全2例,冠心病2例,癔症、扩张性心肌病、先天性心脏病室间隔缺损、心脏杂音待查(肺动脉瓣狭窄?)各1例。经胸部X线检查及超声心动图等确诊为直背综合征。结论直背综合征的诊断在于认识其临床特点,并及时选做胸部X线正侧位片,心脏彩色超声是确诊的有效手段。Objective To explore the clinical characteristics and misdiagnosed causes of the straight back syndrome in order to increase the diagnosis rate. Methods The clinical data of 23 misdiagnosed patients with straight back syndrome during February 1996 and February 2010 were retrospectively analyzed. Results A total of 16 patients out of 23 patients were misdiagnosed at the first visit （69.57%）. Among these misdiagnosed patients there were 4 cases misdiagnosis of congenital heart disease with atrial septal defect, 4 cases of myocarditis, 2 cases of rheumatic heart disease with mitral valve incompetence, 2 cases of coronary heart disease, and 1 case of hysteria, dilated cardiomyopathy, congenital heart disease with ventricular septal defect, and uncertain heart murmur （Pulmonary valve stenosis？） respectively. Straight back syndrome was confirmed by thoracic roentgenoscopy and echocardiogram. Conclusion Diagnosis of straight back syndrome lies in understanding of its clinical characteristics, timely chest X-ray normotopia and lateral radiographs examination and color Doppler echocardiography which is effective for final diagnosis.

关 键 词：直背综合征 误诊 先天性房间隔缺损 心肌炎 

分 类 号：R682.3[医药卫生—骨科学]