摘要
Abstract
Objective To analyze the cause of misdiagnosis of SMS and explore the clinical characteristics and experience in applying treatment. Methods Clinical data of 13 patients with SMS misdiagnosed at the first visit during February 1958 and February 2008 were retrospectively analyzed. Results The group consisted of 10 patients with grade Ⅲ cardiac function, 3 patients with grade IV cardiac function; misdiagnosed diseases consisted of 7 patients with coronary heart disease, 5 patients with pulmonary heart disease and 1 patient with viral myocarditis. The patients were diagnosed as having SMS by the electrocardiogram, echocardio-gram and clinical manifestation, who were treated with the anti-infection, anti-rheumatism and anti-heart failure procedures after diagnosis was made. 3 patients underwent operations simultaneously and recovered well upon discharge. Conclusion SMS tends to be misdiagnosed because of hidden onset, indistinctive clinical features, and lack of hint in left ventricular apical reversed murmurs which might prompt mitral stenosis. To improve the correct ratio of diagnosis we should raise awareness and vigilance against SMS, and make full use of medical examinations, especially eehocardiography.关键词
风湿性心脏病/二尖瓣狭窄/误诊/冠状动脉疾病/肺心病/心肌炎Key words
Rheumatic heart disease/ SMS/ Misdiagnosis/ Coronary artery disease/ Pulmonary heart disease/ Myocarditis分类
医药卫生
