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老年人左心衰临床上比较常见,常以咳嗽、咯痰、喘息及肺部罗音为主要表现,易与慢性支气管炎急性发作相混淆。现将我院近年来误诊的26例左心衰进行分析,旨在探讨误诊的原因,以减少其误诊率。1临床资料1.1一般资料本组26例中男20例,女6例,年龄63～82岁,平均年龄71岁。既往病史:冠心病17例,高血压病5例,高心病合并冠心病2例,肺心病合并冠心病2例,慢性支气管炎18例(26例入院病志均记录有慢性支气管炎病史,以后经仔细追问病史及查阅既往病历排除8例)。1.2临床表现26例均有咳嗽、咯痰、喘息或气急,其中20例以夜间为重,且不能完全平卧。咯白色泡沫痰19例,白色黏液痰2例,咯黄痰5例,该5例经抗炎治疗后转为白色泡沫
Left heart failure in elderly patients is more common in clinical practice, often with cough, expectoration, wheezing and lung rales as the main performance, easy to be confused with acute exacerbation of chronic bronchitis. Now my hospital misdiagnosed in recent years, 26 cases of left heart failure analysis to explore the reasons for misdiagnosis in order to reduce the misdiagnosis rate. 1 Clinical data 1.1 General Information The group of 26 patients, 20 males and 6 females, aged 63 to 82 years, mean age 71 years. Previous medical history: Coronary heart disease in 17 cases, hypertension in 5 cases, high heart disease with coronary heart disease in 2 cases, cor pulmonale with coronary heart disease in 2 cases, chronic bronchitis in 18 cases (26 cases were hospitalized with chronic bronchitis history, later After careful medical history and access to the past medical records excluded 8 cases). 1.2 Clinical manifestations of 26 cases have cough, expectoration, wheezing or shortness of breath, of which 20 cases at night as heavy, and can not be completely supine. 19 cases of slightly white foam sputum, 2 cases of white mucus sputum, slightly yellow sputum in 5 cases, the 5 cases turned to white foam after anti-inflammatory treatment