CAJ | 학술논문

目的探讨临床上易被误诊为病毒性心肌炎的常见病、误诊原因及防治措施.方法选取2005年1月～2008年1月间在我院诊治的被误诊为病毒性心肌炎的患者42例,总结分析误诊疾病、原因及防治措施.结果被误诊为"病毒性心肌炎"的患者经我院门诊及住院检查,分别被诊断为心脏神经症16例(38.10%),功能性早搏10例(23.81%),预激综合征并阵发性室上性心动过速8例(19.05%),β-受体功能亢进症2例(4.76%),左室假腱索、肋软骨炎、上呼吸道感染、肺炎各1例(各占2.38%).结论临床医师应严格掌握病毒性心肌炎的诊断标准,合理选择相关辅助检查,加强对类似疾病的认识,从而提高确诊率.
목적 탐토림상상역피오진위병독성심기염적상견병、오진원인급방치조시.방법 선취2005년1월～2008년1월간재아원진치적피오진위병독성심기염적환자42례,총결분석오진질병、원인급방치조시.결과 피오진위"병독성심기염"적환자경아원문진급주원검사,분별피진단위심장신경증16례(38.10%),공능성조박10례(23.81%),예격종합정병진발성실상성심동과속8례(19.05%),β-수체공능항진증2례(4.76%),좌실가건색、륵연골염、상호흡도감염、폐염각1례(각점2.38%).결론 림상의사응엄격장악병독성심기염적진단표준,합리선택상관보조검사,가강대유사질병적인식,종이제고학진솔.
Objective To invesgate the common diseases misdiagnosed as viral myocarditis, causes of misdiagnosis, prevention and cure measures. Methods 42 cases who were misdiagnosed as viral myocarditis in our hospital from January in 2005 to January in 2008 were selected to analyse the common diseases and causes of misdiagnosis and preventive measures. Results By checking in clinic service or in hospital, there were16 cases (38.10%) diagnosed as car-dioneurosis, 10 cases (23.81%) diagnosed as functionality bearing premature, 8 cases(19.05%) diagnosed as preexcitation syndrome combined with paroxysmal supraventricular tachycardia, 2 cases (4.76%)diagnosed as hyperfunction of β-recipient, 1 case diagnosed as false tendon of left cardiac ventricle, costal chondri-fis, upper respiratory tract infection and pneumonia respectively(2.38%). Conclusion The clinicians should grasp the diagnostic criteria of viral myocarditis, se-lect correlative auxiliary examination reasonbly, reinforce the cognition of the disease similar to viral myocarditis, and improve the rate of final diagnosis.