摘要
Abstract
Objective To investigate clinical characteristics, causes of misdiagnosis and treatment, and prevention methods for elderly patients with coronary heart disease. Methods Clinical data of 7 misdiagnosed elderly patients with a-symptomatic coronary heart disease admitted during January 2015 and March 2016 was retrospectively analyzed. Results A-mong the 7 patients with (68. 5 ± 5. 08) years old, the misdiagnosed rate was 8. 75%, among whom 1 patient was misdiag-nosed as having cervical spondylosis because of pain in neck and back;2 patients were misdiagnosed as having cardiasthenia due to repeated precordial discomfort and breathlessness;1 patient was misdiagnosed as having gastroenteritis due to abdominal distention, upper abdominal pain, nausea, vomiting and wheezing discomfort induced by improper diet;3 patients were misdi-agnosed as respiratory infection due to throat discomfort and tightness, cough and sputum. The misdiagnosed time of the 7 pa-tients was 8 h-2 d, and coronary heart disease was confirmed after further examinations such as electrocardiogram or coronary angiography. Symptomatic treatments such as strengthening anti-thrombus, coronary artery dilatation, anti-platelet, heart func-tion improvement, controlling blood pressure and heart rate were performed in 6 patients, and then patients ' conditions im-proved;other 1 patient underwent bypass surgery, and then was discharged after well recovery. Conclusion Elderly patients with asymptomatic coronary heart disease are easily misdiagnosed because of combination of many chronic illness, unrepresent-ative symptoms, lack of knowledge and understanding in clinicians. Clinicians should carefully ask, check, give differential diagnosis and comprehensively analyze conditions of the elderly patients in order to avoid misdiagnosis and mistreatment.关键词
冠心病/老年人/误诊/呼吸道感染/颈椎病Key words
Coronary disease/Aged/Misdiagnosis/Respiratory tract infection/Cervical spondylosis分类
医药卫生
