Restrictive cardiomyopathy in 1 case was misdiagnosed as clinical analysis of interstitial lung disease.doc

 PAGE \* MERGEFORMAT 9 Restrictive cardiomyopathy in 1 case was misdiagnosed as clinical analysis of interstitial lung disease [Keywords:] restrictive cardiomyopathy misdiagnosis 1 Clinical data Male patient, 50 years old, Guizhou, because of “repeated cough, sputum 10, exertional shortness of breath 5 years, increased 3 days” and admitted there were petrol aspiration .10 years ago the history of climate change and after every cold in there cough, sputum, duration than 3 months per year .5 years ago, exertional shortness of breath, especially after the event was, decreased activity tolerance, a number of hospitals had a diagnosis of “interstitial lung disease”, to symptomatic treatment. The increase due to cold after the above symptoms, chest tightness, wheezing, difficulty breathing air choke and was sweating, in a local hospital for infusion “azithromycin” and other drugs did not work, because when going to the toilet itself collapsed, and emergency delivery into our hospital. the course of disease without chills, fever, chest pain, slightly pink foam sputum and other symptoms. admission examination: pulse 100 beats / min, breathing 30 times / min, blood pressure 130/70mmHg, wheelchair into the room, shoulders Song sweating, sallow complexion, not words, can not walk, difficulty in breathing. the body skin and mucous membrane seems to be yellow dye, clammy skin. lip A cyanosis, jugular vein without filling, emphysema symptoms, lung breath sounds coarse, double diffuse lung could be heard and wheeze. heart is not bound, heart rate 120 beats / min, the law Qi, heart sounds strong, Xiphoid heart sound enhancement. ECG: sinus tachycardia, Ptfv1 negative increase, lung type P wave, right ventricular hypertrophy disorders. dynamic echocardiography Tip: atrial contractions 173 times, ventricular contractions 110 times (multiple sources, sometimes bursts. chest CT in the right upper lobe and left upper lobe pulmonary interstitial inflammation, right lung be