目的观察心力衰竭合并呼吸衰竭的临床特点。方法选取2013年7月~2014年12月我院误诊的心力衰竭合并呼吸衰竭患者40例为研究对象,就其与误诊疾病的临床特点相似性展开分析。结果心力衰竭合并呼吸衰竭的临床特点主要分为五类:(1)发作性呼吸困难,呈端坐位,活动及平卧时加重,伴或不伴咳嗽,咳白色黏液痰,被误诊为支气管哮喘15例;(2)咳嗽、咳痰,活动后胸闷、心悸、呼吸困难,被误诊为慢性阻塞性肺疾病13例(3)上腹部饱胀,食欲不振,被误诊为胃炎7例;(4)有眩晕感,伴随头痛、失语现象,幻听、幻视等,且情绪暴躁,被误诊为精神疾病5例。结论心力衰竭合并呼吸衰竭的发病率较高,是老年人致死的常见病症之一,咳嗽、胸闷、心悸、呼吸困难、上腹部饱胀、食欲不振、头痛、失语、幻听、幻视等为主要的临床特点,患者一旦出现以上症状,应通过全面检查,经确诊后,尽早接受治疗。 Objective To observe the clinical features of heart failure combined with respiratory failure. Methods Forty patients with heart failure and respiratory failure who were misdiagnosed in our hospital from July 2013 to December 2014 were selected as the research object, and the clinical characteristics of the patients with misdiagnosed diseases were analyzed. Results Clinical characteristics of heart failure combined with respiratory failure can be divided into five categories: (1) episodic dyspnea, was sitting, activity and increased supine, with or without cough, cough and white mucus sputum, was misdiagnosed as bronchial asthma 15 cases; (2) cough, sputum, chest tightness after activity, palpitations, dyspnea, was misdiagnosed as chronic obstructive pulmonary disease in 13 cases (3) abdominal fullness, loss of appetite, was misdiagnosed as gastritis in 7 cases; ) Have dizziness, accompanied by headache, aphasia, auditory hallucinations, visual hallucinations, etc., and irritable mood, was misdiagnosed as mental illness in 5 cases. Conclusions The incidence of heart failure combined with respiratory failure is high, which is one of the common causes of death in the elderly. Cough, chest tightness, palpitations, dyspnea, abdominal fullness, loss of appetite, headache, aphasia, auditory hallucination, hallucination and so on are The main clinical features, patients with the above symptoms, should be through a comprehensive examination, after diagnosis, early treatment.