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粘液性水肿心脏病并非罕见,且易误诊。本文对4例患者的临床资料加以分析,并对该病的诊断进行了讨论。本组病例从出现症状到确诊的时间平均为5年。有两例发生误诊,一例误诊为贫血、肾炎;另一例误诊为风湿性疾病。提高对该病的认识是及时诊断的关键。临床上对起病缓慢,有乏力、畏寒、贫血、皮肤干燥、毛发脱落、便秘、食欣减退而体重增加的患者应疑及甲减,对同时合并有心脏增大或心包积液,心动过缓等表现者,尤其是中年妇女,应疑及本病而进一步做有关甲状腺功能的检查。
Mucinous edema Heart disease is not uncommon and misdiagnosed. In this paper, the clinical data of 4 patients were analyzed and the diagnosis of the disease was discussed. This group of patients from symptoms to diagnosis of an average of 5 years. Two cases of misdiagnosis, one case misdiagnosed as anemia, nephritis; another case misdiagnosed as rheumatic diseases. To improve the understanding of the disease is the key to timely diagnosis. Clinical onset of slow, with fatigue, chills, anemia, dry skin, hair loss, constipation, Xin Xin food loss and weight loss in patients with hypothyroidism should be hypothyroidism, at the same time combined with enlarged heart or pericardial effusion, heartbeat Too slow and other performance, especially middle-aged women, should be suspected and the disease and further to do about thyroid function tests.