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风湿性心脏病(简称风心病)是临床常见病,一般不易误诊;而老年人风心病则不尽相同,初次诊断容易失误。本文就我院初诊失误的39例老年人风心病作一简要的临床分析,并探讨其失误的原因,以利提高老年人风心病的临床诊断水平。一、临床资料(一)误诊率本院五年来共收治老年风心病60例,其中11例系从成年延续到老年,均已确诊。另3例有二尖瓣交界分离术史,余46例均系初诊,其中仅7例初步诊断正确,余39例均有不同程度的诊断失误,本组初诊误诊率为84.7%,远比成人风
Rheumatic heart disease (referred to as rheumatic heart disease) is a common clinical disease, generally not easy to misdiagnosis; while the elderly are not the same rheumatic heart disease, initial diagnosis is easy to make mistakes. This article on our hospital initial diagnosis of rheumatic heart disease in 39 elderly patients for a brief clinical analysis, and explore the reasons for the error, in order to facilitate the clinical diagnosis of rheumatic heart disease in the elderly. First, the clinical data (A) misdiagnosis rate Hospital in the past five years were treated 60 cases of elderly rheumatic heart disease, of which 11 cases from the adult to the elderly, have been diagnosed. The other three cases had a history of mitral valve junctional dissection, 46 cases were newly diagnosed, of which only 7 cases were correctly diagnosed, with more than 39 cases of different degrees of diagnostic errors, the initial misdiagnosis rate was 84.7%, far more than adults wind