目的 探讨心力衰竭合并胸腔积液患者的临床特征、治疗及误诊情况.方法 选取我院诊治的280例心力衰竭合并胸腔积液的患者,对其临床特征及治疗效果进行分析.结果 本组患者心力衰竭引起胸腔积液以右侧最为多见,胸腔积液的程度与心力衰竭的分级有关.本组患者首诊时37例被误诊,误诊率13.21％.患者确诊后抗心衰治疗效果理想.结论 胸腔积液量与心力衰竭的分级有关,对心力衰竭合并胸腔积液患者要进行全面而细致的综合分析,并完善辅助检查,对提高本病的诊断及正确治疗有重要意义.%Objective To investigate the clinical characteristic, treatment and misdiagnosis in patients with heart failure and pleural effusion, for accumulating clinical experience, directing clinical work. Methods We studied the clinical characteristics and treatment of 280 patients with heart failure and pleural effusion. Results The right pleural effusion were most in the group. The effusion were correlated with grade of heart failure. 37 patients were misdiagnosed (13.21%). The anti-heart failure therapy were satisfied after diagnosis. Conclusions The effusion is correlated with grade of heart failure. The comprehensive essential auxiliary examination is help to diagnosis in patients with heart failure and pleural effusion.
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