摘要
急性左心衰竭病情凶险、进展迅速,及时、正确诊断是改善患者预后的关键。然而,仍有部分患者由于各种原因得不到及时正确的诊断与救治。本文总结两例急性左心衰竭患者的诊断过程,患者均突发呼吸困难,分别误诊为自发性气胸、慢性阻塞性肺疾病(COPD)急性加重期疗效不佳。对于急性左心衰竭表现为极度呼吸困难的患者,应熟悉其特征性临床表现,不能受患者表面现象影响,结合心率明显加快应怀疑左心衰竭可能,如诊断困难,检测B型脑钠肽水平有助于急性左心衰竭的及时诊断,从而避免误诊及漏诊。
Acute left heart failure , in a dangerous condition , proceeds rapidly , and timely and accurate diagnosis ofit is the key to improve the prognosis of the patients. However , due to various reasons , thetimely and correct diagnosis. The article summarizes the diagnostic procedure of two patients with acute left heart failure. Both of. .them suffered from sudden difficulty in breathing , and were misdiagnosed as spontaneous pneumothorax and poor curative effect on AECOPD respectively. For patients with acute left heart failure who shows extreme difficulty in breathing , doctors should be familiar with their characteristic clinical manifestations, and cannot be affected by their superficial phenomenon. With the obviously accelerated heart rate , the possibility of patients developing left heart failure should be suspected. If there weredifficulties in diagnosis , BNP level can contribute to the timely diagnosis of acute left heart faiand missed diagnosis.
出处
《中国全科医学》
CAS
北大核心
2017年第14期1781-1783,共3页
Chinese General Practice
关键词
心力衰竭
呼吸困难
诊断
利钠肽
脑
Heart failure
Dyspnea
Diagnosis
Natriuretic peptide , brain
