社区15例颈心综合征误诊为心绞痛临床分析  

Clinical analysis of 15 cases of cervical heart syndrome misdiagnosed as angina pectoris in community

作　　者：柯华 Ke Hua(Taiyanggong Community Health Service Center of Chaoyang District,Beijing 100000)

机构地区：[1]北京朝阳区太阳宫社区卫生服务中心,100000

出　　处：《中国社区医师》2016年第30期187-188,共2页Chinese Community Doctors

摘　　要：目的:探讨社区颈心综合征误诊为缺血性心脏病的原因。方法:收治颈心综合征患者15例,分析临床误诊原因。结果:所有患者在初诊时误诊为心绞痛发作或冠脉综合征,患者均有椎体缘增生。结论:当患者有胸痛、胸闷症状,按照扩冠活血治疗无效时,要考虑颈心综合征的可能,积极采取有效措施,以免漏诊、误诊。Objective:To explore the reasons of cervical heart syndrome misdiagnosed as ischemic heart disease in community.Methods:15 cases of cervical heart syndrome were selected.The clinical misdiagnosis reasons were analyzed.Results:All patientswere misdiagnosed as angina pectoris or coronary syndrome at the time of the first visit.All patients had vertebral marginhyperplasia.Conclusion:When the patient has chest pain,chest tightness symptoms,the extended coronary artery and promotingblood circulation treatment is invalid.It should be considered the possibility of cervical heart syndrome,and actively takingeffective measures avoid missed diagnosis and misdiagnosis.

关 键 词：心绞痛 颈心综合征 心电图ST-T 改变 冠脉造影 

分 类 号：R541[医药卫生—心血管疾病]