心源性胸腔积液36例诊治分析  

Analysis of diagnosis and treatment of cardiac pleural effusion in 36 cases

作　　者：于占玲 Yu Zhanling(Hulunbeier City Second People's Hospital of Inner Mongolia 162650)

机构地区：[1]内蒙古呼伦贝尔市第二人民医院,162650

出　　处：《中国社区医师》2016年第8期184-184,186,共2页Chinese Community Doctors

摘　　要：目的:探讨心源性胸腔积液的临床特点及误诊原因,以提高诊断率。方法:对140例胸腔积液患者进行分析。结果:140例患者中,心源性胸腔积液36例(25.6%),其中首诊误诊8例,误诊率22.2%。结论:对心衰的早期症状分析不足、临床症状认识的缺乏、不重视胸腔积液检查或过分依赖检查结果等因素都易造成心源性胸腔积液的误诊。应根据其临床特点确诊。Objective:To investigate the clinical characteristics and misdiagnosis reasons of cardiac pleural effusion, so as toimprove the diagnostic rate.Methods:140 patients with pleural effusion were analyzed.Results:In 140 patients,36 cases(25.6% )were cardiac pleural effusion;8 cases were misdiagnosed;the misdiagnosis rate was 22.2%.Conclusion:The poor analysis of earlysymptoms of heart failure,lack of the clinical symptoms awareness,doing not attach importance to pleural effusion examination orexcessive dependence on the examination results and other factors are easy to cause the misdiagnosis of cardiac pleural effusion.Itshould be diagnosed according to its clinical characteristics.

关 键 词：心源性胸腔积液 胸腔积液 血性心力衰竭 

分 类 号：R541.6[医药卫生—心血管疾病]