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我院1985～1986年收治的2例缩窄性心包炎入院前均误诊为其它疾病。1例误诊5年,另1例误诊两年。两例确诊后均经上级医院手术证实,现介绍如下。病历摘要【例1】郎××,女,19岁,学生。患者于1980年4月中旬因胸闷、气急、腹胀、双下肢水肿,曾在当地医院诊断为“病毒性心肌炎”、“心衰”,住院两次治疗无效。1983年5月转某省级医院住院半个月,诊断同上。出院后回当地医院继续治疗,病情无改善。1985年9月26日因心慌、气短加重,伴尿少,全身浮肿收入我院。查体:体温36℃,脉搏90次/分,血压14.7/9.3 kPa(110/70毫米汞柱),颈静脉充盈,双肺叩诊
Two cases of constrictive pericarditis admitted to our hospital from 1985 to 1986 were misdiagnosed as other diseases before admission. One case was misdiagnosed for 5 years and the other was misdiagnosed for two years. Two cases confirmed by the superior hospital surgery confirmed, are presented below. Case History 【Example 1】 Lang × ×, female, 19 years old, student. Patients in mid-April 1980 due to chest tightness, shortness of breath, bloating, lower extremity edema, had a local hospital diagnosis of “viral myocarditis”, “heart failure,” two hospitalizations ineffective. 1983 May transferred to a provincial hospital for half a month, diagnosed as above. After discharge to the local hospital to continue treatment, no improvement in condition. September 26, 1985 due to palpitation, increased shortness of breath, with less urine, systemic edema income in our hospital. Physical examination: body temperature 36 ℃, pulse 90 beats / min, blood pressure 14.7 / 9.3 kPa (110/70 mmHg), filling of jugular vein,