非心源性心绞痛误诊为冠心病心绞痛的临床分析

摘要

目的：探讨非心源性心绞痛被误诊为冠心病心绞痛的临床表现及诊断方法。方法：对我院收治的50例被误诊为冠心病心绞痛的非心源性心绞痛患者进行心电图运动负荷试验，经超声心动图检查、经冠状动脉造影检查、B超检查、X线片检查、胃镜检查等。结果：50例患者中，14例患者被确诊为反流性食管炎，8例患者被确诊为胆石症，5例患者被确诊为胆囊炎，4例患者被确诊为颈椎病，4例患者为确诊为胃癌，3例患者被确诊为胃溃疡，3例患者被确诊为β-受体亢进综合征，2例患者被确诊为心脏神经症，2例患者被确诊为更年期综合征，2例患者被确诊为甲状腺功能亢进症，2例患者被确诊为肩周炎，1例患者被确诊为肋软骨炎。结论：非心源性心绞痛极易被误诊为冠心病心绞痛，临床应该采取有效的诊断方法将误诊率降低到最低限度。%Objective: To investigate the clinical manifestations and diagnostic methods of non-cardiac angina which was misdiagnosed as angina pectoris.Methods:All patients underwent exercise stress test ECG,echocardiography examination,coronary angiography,B-ultrasound,X-ray examination,endoscopy examination.Results:Among the 50 cases of patients,14 cases were diagnosed as reflux esophagitis,8 cases were diagnosed as gallstones,5 cases were diagnosed as cholecystitis,4 cases were diagnosed as cervical spondylosis,4 cases were diagnosed as gastric cancer,3 cases were diagnosed as gastric ulcer,3 cases were diagnosed as β-receptor hyperactivity syndrome,2 cases were diagnosed as cardiac neurosis,2 cases were diagnosed as menopausal syndrome,2 cases were diagnosed as hyperthyroidism,2 cases were diagnosed as frozen shoulder,1 case was diagnosed as costochondritis.Conclusion:Non-cardiac angina are easily misdiagnosed as angina pectoris,the clinical should take effective diagnostic methods to reduce the misdiagnosis rate to the minimum.