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目的:探讨老年性退行性心瓣膜病的诊断。方法:对我院1995/2008年收治的268例老年性退行性心瓣膜病临床资料回顾性分析。结果:初诊时被误诊64例,误诊率为23.8%,分别误诊为风心病、冠心病、高血压性心脏病、心肌病、结核性胸膜炎、甲状腺功能亢进性心脏病、肝硬化7种疾病。结论:老年性退行性心瓣膜病的发病隐匿,临床症状无特异性,正确的诊断应提高对本病的认识,及时选做心电图、X线胸片、UCG。
Objective: To investigate the diagnosis of senile degenerative heart valve disease. Methods: A retrospective analysis of 268 cases of senile degenerative valvular heart disease admitted to our hospital in 1995/2008. Results: 64 cases were misdiagnosed at the time of first visit, the misdiagnosis rate was 23.8%. They were respectively misdiagnosed as seven kinds of diseases including rheumatic heart disease, coronary heart disease, hypertensive heart disease, cardiomyopathy, tuberculous pleurisy, hyperthyroidism heart disease and liver cirrhosis. Conclusion: The incidence of senile degenerative valvular disease is occult, and the clinical symptoms are not specific. Correct diagnosis should improve the understanding of this disease and choose ECG, X-ray and UCG in time.