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近年来,我们对14例β—受体亢进综合征病人分别误诊为冠心病、更年期综合征、病毒性心肌炎、神经衰弱、甲状腺机能亢进、风湿热。主要误诊原因为:①思路狭窄,对本病认识不足。本病因交感神经的β—受体功能亢进或敏感而易产生心悸、气短、胸闷、头晕、乏力、失眠、多汗、烦躁等症状,心电图可表现为Ⅱ、Ⅲ、avF等导联不同程度的ST—T改变。由于本病的症状具有易变性和多变性,故易与其他疾病混淆而误诊。②诊断器质性疾病时,未能严格掌握诊断标准,如冠心病,仅凭心悸、胸
In recent years, we were misdiagnosed as coronary heart disease, menopausal syndrome, viral myocarditis, neurasthenia, hyperthyroidism and rheumatic fever in 14 patients with β-adrenergic syndrome. The main causes of misdiagnosis: ① narrow thinking, lack of knowledge of the disease. The etiology of sympathetic β-receptor hyperactivity or sensitivity and easy to produce heart palpitations, shortness of breath, chest tightness, dizziness, fatigue, insomnia, hyperhidrosis, irritability and other symptoms, ECG can be expressed as Ⅱ, Ⅲ, avF lead to varying degrees ST-T changes. Because of the symptoms of this disease is mutable and variability, it is easy to be confused with other diseases and misdiagnosis. ② diagnosis of organic disease, failed to strictly grasp the diagnostic criteria, such as coronary heart disease, palpitations alone, chest