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1984～1993年,我院将15例国产期心肌病患者误诊为其他心脏病,现报告如下。1 误诊疾病1.1 误诊为高血压心脏病3例 患者28岁,妊娠30周始出现头痛、头晕、心悸,血压22/14kPa,经治疗好转。产前2周因出现心悸、气短、夜间阵发性呼吸困难入院。查体:血压20/12kPa,心率96次/min,律不齐,双肺闻及小水泡音。心电图示Ⅰ、avl、V_5T波低平,多发性室性早搏。超声心动图示左室腔扩大。
1984 to 1993, our hospital will be misdiagnosed as 15 cases of other heart disease in domestic patients with cardiomyopathy, are as follows. 1 misdiagnosis of the disease 1.1 misdiagnosed as hypertensive heart disease in 3 patients 28 years of age, 30 weeks of pregnancy had headache, dizziness, palpitations, blood pressure 22 / 14kPa, the treatment improved. 2 weeks before delivery because of palpitations, shortness of breath, paroxysmal nocturnal dyspnea admission. Physical examination: blood pressure 20 / 12kPa, heart rate 96 beats / min, irregular, lungs smell of small blisters. ECG shows Ⅰ, avl, V_5T wave flat, multiple premature ventricular contractions. Echocardiography showed left ventricular cavity enlargement.