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重症肌无力两次误诊为心力衰竭诊治分析

罗立 黄怡 徐孝玄

中国全科医学Issue(35):4239-4241,3.
中国全科医学Issue(35):4239-4241,3.DOI:10.3969/j.issn.1007-9572.2014.35.023

重症肌无力两次误诊为心力衰竭诊治分析

Diagnosis and Treatment of Myasthenia Gravis Twice Misdiagnosed as Heart Failure

罗立 1黄怡 1徐孝玄1

作者信息

  • 1. 415003湖南省常德市第一人民医院心血管内科
  • 折叠

摘要

Abstract

Myasthenia gravis( MG),a kind of autoimmune disease with neuromuscular transmission disorders,main-ly presents with fatigue of involved skeletal muscle,undulatory myasthenia,mild in the morning severe in the evening. Heart failure(HF)is a clinical syndrome due to varying heart diseases,manifesting as dyspnea,fatigue,fluid retention. Myasthenia can lead to dyspnea when involving respiratory muscles and is easy to be misdiagnosed as HF to delay rescue to cause respiratory failure and threaten patients' lives. This paper reports a case of myasthenia misdiagnosed as acute HF for 2 times to explore the standardization of diagnosis and treatment to reduce its misdiagnosis rate.

关键词

重症肌无力/心力衰竭/误诊

Key words

Myasthenia gravis/Heart failure/Diagnostic errors

分类

医药卫生

引用本文复制引用

罗立,黄怡,徐孝玄..重症肌无力两次误诊为心力衰竭诊治分析[J].中国全科医学,2014,(35):4239-4241,3.

中国全科医学

OA北大核心CSCDCSTPCD

1007-9572

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