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目的:探讨限制型心肌病的临床特征,诊断治疗方法及误诊原因,提出防范误诊措施。方法:报道1例限制型心肌病误诊为陈旧性心肌梗死病例并复习相关文献。结果:该患者入院后初步诊断为冠心病、陈旧性心肌梗死,予相应治疗后,症状未见缓解,后经超声心动图,冠状动脉造影,心导管检查及病理活检,诊断为限制型心肌病。结论:限制型心肌病与心肌梗死等疾病易混淆,临床特点并存,需认真鉴别,超声心动图,心导管检查及病理活检具有较高诊断价值。
Objective: To investigate the clinical characteristics of restrictive cardiomyopathy, diagnosis and treatment methods and the causes of misdiagnosis, put forward preventive measures to prevent misdiagnosis. Methods: One case of restricted cardiomyopathy was misdiagnosed as a case of old myocardial infarction and reviewed the relevant literature. Results: The patient was initially diagnosed as coronary heart disease and old myocardial infarction after admission, and the symptoms were not relieved after the corresponding treatment. The patients were diagnosed as restricted cardiomyopathy by echocardiography, coronary angiography, cardiac catheterization and pathological biopsy . Conclusion: The diseases such as restricted cardiomyopathy and myocardial infarction are easy to be confused. The clinical features coexist and need to be carefully identified. Echocardiography, cardiac catheterization and pathological biopsy are of high diagnostic value.