对原发性肺动脉高压误诊为右心室心肌病1例分析如下。1病历摘要女,42岁。因胸闷、气短10 d余,腹胀3 d为主诉于2008-06-20第一次就诊。入院前10 d受凉感冒后出现胸闷、气短,3d前不思饮食且腹胀明显。查体:BP 110/70 mm Hg,R 18次/min,P 89次/min,紫绀貌,颈静脉无怒张,双下肺可闻 Misdiagnosed as primary pulmonary hypertension in 1 case of right ventricular cardiomyopathy are as follows. 1 medical record summary female, 42 years old. Due to chest tightness, shortness of breath more than 10 d, abdominal distension 3 d the main complaint in 2008-06-20 first visit. 10d before admission to the hospital after a cold cold chest tightness, shortness of breath, do not think before eating 3d and bloating significantly. Physical examination: BP 110/70 mm Hg, R 18 times / min, P 89 times / min, purple appearance, jugular vein without anger, double under the lung can be heard