CAJ | 학술논문

目的：通过对老年不典型心力衰竭患者的临床资料分析，总结讨论老年不典型心力衰竭的特点、容易误诊的原因和个人治疗的体会。方法回顾性分析38例老年不典型心力衰竭的临床资料，对本组病例的基础疾病、临床表现、主要辅助检查、典型病例和治疗结果等临床情况进行了探讨分析。结果部分老年心力衰竭患者临床表现不典型，感染尤其是呼吸道炎症仍是老年心力衰竭的主要诱因，老年患者不典型心力衰竭复杂、多变和隐蔽。结论对老年不典型心力衰竭患者的治疗，要全面认真，抓住主要矛盾，制定个体化、多学科的综合治疗方案。
목적：통과대노년불전형심력쇠갈환자적림상자료분석，총결토론노년불전형심력쇠갈적특점、용역오진적원인화개인치료적체회。방법회고성분석38례노년불전형심력쇠갈적림상자료，대본조병례적기출질병、림상표현、주요보조검사、전형병례화치료결과등림상정황진행료탐토분석。결과부분노년심력쇠갈환자림상표현불전형，감염우기시호흡도염증잉시노년심력쇠갈적주요유인，노년환자불전형심력쇠갈복잡、다변화은폐。결론대노년불전형심력쇠갈환자적치료，요전면인진，조주주요모순，제정개체화、다학과적종합치료방안。
Objective Through the analysis of the data of aged patients with atypical heart fallure,to summarize and discuss the characteristics of aged patients with atypical heart fallure,the cause of easy misdiagnosis and the experience of personal therapy. Methods 38 cases of aged patients with atypical heart fallure who were selected to study and analyze on the underlying diseases,the clinical manifestation,the maln auxiliary examination,the typical cases and the treatment outcome and other clinical conditions. Results Some of the clinical manifestations of aged patients with heart fallure whose inducement were still infection especially respiratory inflammation were atypical. Atypical heart fallure in aged patients were complex,multivariate,cryptic. Conclusion To grasp the principal contradiction and to make individualized,multidisciplinary and comprehensive treatment protocols in order to treat the aged patients with atypical heart fallure comprehensively and seriously.