临床误诊误治Issue(2)：1-5,5.DOI:10.3969/j.issn.1002-3429.2016.02.001
“误诊疾病数据库”单病种误诊文献研究：应激性心肌病
A Study on Misdiagnosis Literature of Single Disease of Chinese Misdiagnosed Disease Database:Stress Induced Car-diomyopathy
何春来 1孟庆义2
作者信息
- 1. 102300 北京，京煤集团总医院急诊科
- 2. 100853 北京，解放军总医院急诊科
- 折叠
摘要
Abstract
Stress induced cardiomyopathy ( SCM) is a recently recognized form of transient left ventricular apical hy-pokinesis that is presumably precipitated by stress and may clinically resemble an acute coronary syndrome ( ACS ) , and is prone to be misdiagnosed. Twenty-eight literatures of misdiagnosis SCM were selected from enrolled misdiagnosis disease data-base, published in Chinese medical journals during 2004 and 2013. The enrolled misdiagnosed cases were 114 patients and no misdiagnosis rate was mentioned. Among the misdiagnosed diseases, the top three were acute myocardial infarction, ACS ( a-cute myocardial infarction excluded) and acute myocarditis. The misdiagnosis result showed no obvious adverse sequel in 114 cases ( grade Ⅲ misdiagnosis result) . The first misdiagnosis cause was the lack of specific symptoms and signs. And the sec-ond was inadequate clinical experience of physicians who lacked the knowledge about the SCM and ignored the specific tests. Clinical physicians should enrich the knowledge about the acute myocardial infarction, acute pulmonary embolism, acute aortic dissection, tension pneumothorax and SCM. Although SCM patients do not suffer permanent myocardial damage as the ACS disease, the suspected SCM cases should be treated as the ACS first with theβ-receptor agonists and catecholamine is forbid-den.关键词
心肌疾病/误诊/心肌梗死/急性冠状动脉综合征/心肌炎Key words
Cardiomyopathy/Misdiagnosis/Myocardial infarction/Acute coronary syndrome/Myocarditis分类
医药卫生引用本文复制引用
何春来,孟庆义..“误诊疾病数据库”单病种误诊文献研究：应激性心肌病[J].临床误诊误治,2016,(2):1-5,5.
