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对门诊患者的首诊和治疗,常常关系到某些疾病的发展和转归。笔者就老年人在基层门诊中常易失误的几个问题加以讨论,旨在提高对某些疾病的认识,提高诊治水平,使患者及早获得抢救与治疗的机会。 1.老年人心力衰竭老年人心衰,特别是左心衰较常见,但在心衰早期缺乏典型症状及体征时,极易造成误诊。左心衰时,由于肺瘀血,支气管粘膜充血水肿,分泌物增多,支气管痉挛,气道阻力增加,从而引起咳嗽,咯痰,喘息,两肺可闻及干湿性罗音,极易误诊为呼吸道感染或支气管哮喘。右心衰时,由于静脉回流受阻,肠道
The first visit and treatment of outpatients are often related to the development and outcome of certain diseases. The author discusses several issues that elderly people often make mistakes in primary care clinics to improve their understanding of certain diseases and improve the diagnosis and treatment so that patients can get the chance to be rescued and treated as soon as possible. 1. Elderly heart failure Elderly heart failure, especially in patients with left heart failure is more common, but in the early absence of typical symptoms and signs of heart failure, can easily lead to misdiagnosis. Left heart failure, due to pulmonary blood stasis, congestion and edema of bronchial mucosa, increased secretions, bronchospasm, increased airway resistance, causing cough, expectoration, wheezing, lungs can be heard and wet and dry rales, easily misdiagnosed For respiratory infections or bronchial asthma. Right heart failure, due to venous obstruction, intestinal