急性肺栓塞误诊为心力衰竭42例临床特征分析
胡永平
（楚雄州人民医院心内科，云南 楚雄，650000）
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摘要：
目的 探究急性肺栓塞误诊为心力衰竭的临床特征。方法 将我院2010年11月至2016年11月接收并被误诊为心力衰竭的急性肺栓塞患者42例作为研究对象，对其一般资料进行回顾分析。结果 被误诊为心力衰竭的急性肺栓患者的临床表现均缺乏特异性，在抗凝治疗后，有2例患者因抢救无效而死亡。结论 急性肺栓塞容易出现漏诊、误诊现象，因此，对于存在 典型三联征患者，要及时予以肺动脉CT造影检查，以提升确诊率。
关键词：急性肺栓塞；误诊；心力衰竭
中图分类号：R563.5文献标志码：A文章编号：2096-1413(2017)27-0028-02
Clinical analysis of acute pulmonary embolism misdiagnosed as heart failure
HU Yong-ping
(Department of Cardiology, People``s Hospital of Chuxiong Prefecture, Chuxiong 650000, China)
ABSTRACT: Objective To explore the clinical characteristics of acute pulmonary embolism misdiagnosed as heart failure. Methods Forty -two patients with acute pulmonary embolism misdiagnosed as heart failure who were admitted in our hospital from November 2010 to November 2016 were selected as the study objects, and their clinical data was retrospectively analyzed. Results The clinical manifestations of patients with acute pulmonary embolism who were misdiagnosed as heart failure were not specific. After 2 years of anticoagulation, 2 patients died due to ineffective rescue. Conclusion Acute pulmonary embolism prone to misdiagnosis, misdiagnosis, therefore, for the patients with typical triad, pulmonary artery CT angiography needs to be timely implemented to improve the diagnosis rate.
KEYWORDS: acute pulmonary embolism; misdiagnosis; heart failure
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