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心包积液临床不少见,老年人往往临床表现不典型或被其他病所掩盖,易延误诊断,本文就我们延误诊断的心包积液22例作一临床分析。临床资料一般资料:本组男13例,女9例,年龄60～79岁,平均66.1岁。初诊分别为心肌病4例,冠心病心肌梗塞8例,结核性胸膜炎8例,肺心病心衰2例,冠心病心衰2例,肿瘤性心包炎误诊为结核性心包炎2例,高血压性心脏病2例,食管异物1例,充血性心衰1例,克山病1例,肺炎1例。误诊时间最短2天,最长半年。
Pericardial effusion clinical is not uncommon, the elderly are often atypical clinical manifestations or other diseases covered, easy to delay diagnosis, this paper on our delayed diagnosis of pericardial effusion in 22 cases for a clinical analysis. Clinical data General information: The group of 13 males and 9 females, aged 60 to 79 years, mean 66.1 years. Newly diagnosed cardiomyopathy were 4 cases, 8 cases of coronary heart disease myocardial infarction, tuberculous pleurisy in 8 cases, 2 cases of cor pulmonale heart failure, 2 cases of coronary heart disease, tumor of the pericarditis misdiagnosed as tuberculous pericarditis in 2 cases, 2 cases of sexual heart disease, 1 case of esophageal foreign body, 1 case of congestive heart failure, Keshan disease in 1 case, pneumonia in 1 case. Misdiagnosis of the shortest 2 days, up to six months.