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学科主题: 急诊医学
题名:
两例房间隔缺损误诊为慢性阻塞性肺疾病的临床分析
其他题名: Clinical Analysis of Two Cases of Atrial Septal Defect Misdiagnosed as Chronic Obstructive Pulmonary Disease
作者: 马青变; 姚婉贞; 郑亚安
关键词: 房间隔缺损 ; 肺动脉高压 ; 慢性阻塞性肺疾病 ; Heart septal defects,atrial ; Hypertension,Pulmonary ; Chronic obstructive pulmonary disease
刊名: 中国全科医学
发表日期: 2010
DOI: 10.3969/j.issn.1007-9572.2010.10.037
卷: 13, 期:10, 页:1132-1133
收录类别: 中国科技核心期刊 ; 中文核心期刊 ; CSCD
文章类型: Journal Article
摘要: 目的 分析两例房间隔缺损误诊为慢性阻塞性肺疾病(COPD)的原因.方法 回顾分析了两例房间隔缺损老年患者的临床特征和诊断过程,并进行了文献复习.结果 老年人房间隔缺损临床表现为慢性咳嗽、咳痰、呼吸困难和肺动脉高压,且心脏听诊无杂音时易误诊为COPD合并慢性肺源性心脏病.结论 临床医师对慢性咳嗽、咳痰、呼吸困难和肺动脉高压的老年患者应除外房间隔缺损,超声心动图和肺功能检查是鉴别房间隔缺损和COPD的重要手段,也是防止误诊的重要方法. Objective To investigate the causes of two cases of atrial septal defect misdiagnosed as chronic obstructive pulmonary disease.Methods Two elderly patients with atrial septal defect (ASD) in Peking University Third Hospital were analyzed retrospectively.Results ASD in the aged was liable to be mistaken for chronic obstructive pulmonary disease with chronic cor pulmonale when its clinical manifestation included chronic cough,sputum production,dyspnea and pulmonary artery hypertension without cardiac murmur.Conclusion ASD should be included in the differential of the elderly patients with chronic cough,sputum production,dyspnea and pulmonary artery hypertension.Echocardiogram and spirometry were not only significant methods of differentiating ASD and chronic obstructive pulmonary disease,but also important measures against misdiagnosing of ASD.
语种: 中文
原文出处: 查看原文
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内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/71488
Appears in Collections:北京大学第三临床医学院_急诊科_期刊论文

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作者单位: 1.北京大学第三医院急诊科,北京市,100191
2.北京大学第三医院呼吸科

Recommended Citation:
马青变,姚婉贞,郑亚安. 两例房间隔缺损误诊为慢性阻塞性肺疾病的临床分析[J]. 中国全科医学,2010,13(10):1132-1133.
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