Left ventricular failure with pulmonary congestion based, its symptoms and signs do not have the characteristic that patients often cough, or paroxysmal exertional dyspnea, pulmonary rales, fatigue, increased heart rate and other clinical manifestations while elderly early left heart failure (left ventricular failure recessive) because of the lack of typical clinical manifestations and signs could easily lead to misdiagnosis. Combined with actual cases to be analyzed early clinical features of left heart failure, and discussions.%左心衰竭以肺淤血为主，其症状、体征不具有特征性，患者常以咳嗽、劳力性或阵发性呼吸困难，肺部啰音，乏力，心率增快等为临床表现，而老年早期左心衰竭(隐性左心衰竭)因其缺乏典型临床表现及体征易造成漏诊误诊。本文结合实际病例对早期左心衰竭的临床特点加以分析、讨论，结合必要的辅助检查，进行综合分析，早诊断早治疗，避免误诊、漏诊。
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