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充血型心肌病(充心病),是原因不明,起病隐晦,临床表现和经过颇不一致的较少见疾病。因此临床易发生误诊和漏诊病例,今将我们所见13例误诊病例,结合文献资料作一分析。一般资料:男9例,女4例;年龄:30岁～40岁2例,42～65岁11例。误漏诊年限:最长的15年,最短的1年,6～10年11例。经县级以下医院误漏诊4例,经县和县以上两级反复诊治误漏诊9例。临床资料:胸闷憋气13例,咳嗽9例,劳力性呼吸困难13例,下肢水肿9例,全身水肿6例,心脏增大11例,左室大2例。心尖区柔和吹风样收缩期杂音Ⅱ级10例,Ⅲ级2例,Ⅰ级1例,有S_26例,S_42
Congestive cardiomyopathy (congestive heart disease) is an unknown cause, obscure onset, clinical manifestations and after quite inconsistent less common disease. Therefore, clinical misdiagnosis and missed diagnosis of cases, now we see 13 cases of misdiagnosis, combined with literature for an analysis. General information: 9 males and 4 females; age: 2 years old 30 years old to 40 years old, 11 cases 42-65 years old. Mistakes missed diagnosis: the longest 15 years, the shortest 1 year, 6 to 10 years in 11 cases. Four cases of misdiagnosis by hospitals below county level were diagnosed as missed and missed by repeated treatment at county level and above level in 9 cases. Clinical data: chest tightness and suffocation in 13 cases, 9 cases of cough, exertional dyspnea in 13 cases, 9 cases of lower extremity edema, systemic edema in 6 cases, 11 cases of cardiac enlargement, left ventricular large in 2 cases. Apex soft hair-style systolic murmur Ⅱ grade in 10 cases, Ⅲ grade in 2 cases, Ⅰ grade in 1 case, there S_26 cases, S_42