心力衰竭简称心衰,有其特殊症状、体征,一般不易误诊,但如不详细询问病史、全面分析临床资料,也可能误诊、漏诊。今举近几年来我院发生的几个例子,并分析其原因。1 因乏力、腹胀、谷丙转氨酶升高,误诊为肝硬化、腹水。 例1 患者,王××,女,23岁,农民,因反复乏力、腹胀、浮肿半年余,加剧半月于1994年8月25日入院。检查:全身浮肿,巩膜轻度黄染、贫血貌、无紫绀,心率110次/分,律齐,杂音不明显。两肺未闻湿性罗音。腹胀、移动性浊音阳性,肝脾触诊不明显。尿二胆阳性,血常规:红细胞及1.77×10~(12)/L,血红蛋 Heart failure referred to as heart failure, with its special symptoms, signs, generally not easy to misdiagnosis, but without detailed medical history, a comprehensive analysis of clinical data, may also be misdiagnosed, missed diagnosis. Here are a few examples of occurrences in our hospital in recent years, and analyze the reasons. 1 due to fatigue, abdominal distension, elevated alanine aminotransferase, misdiagnosed as cirrhosis, ascites. Example 1 patients, Wang × ×, female, 23 years old, peasants, due to repeated weakness, bloating, edema more than six months, aggravating half a month on August 25, 1994 admission. Check: systemic edema, scleral mild yellow dye, anemia appearance, no cyanosis, heart rate 110 beats / min, law Qi, no obvious noise. Two lungs did not hear wet rales. Bloating, mobility dullness positive, palpation of liver and spleen is not obvious. Uric two urine positive, blood: red blood cells and 1.77 × 10 ~ (12) / L, hemoglobin