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目的:探索青年人肺癌的诊断、误诊原因。方法:回顾分析近10 a来我院收治初诊误诊的青年人肺癌18例临床资料。结果:18例分别被误诊脑梗死、肺门淋巴结结核、支气管炎、阻塞性肺炎、风湿性关节炎、浸润型肺结核和坐骨神经痛。结论:青年人肺癌早期症状不典型,极易误诊;详细询问病史,系统体检,适时选做X线胸片,痰或胸水细胞学检查,纤维支气管镜、胸部CT,以便协助早期诊断。
Objective: To explore the diagnosis and misdiagnosis of lung cancer in young people. Methods: A retrospective analysis of the past 10 years to our hospital admitted to the newly diagnosed young patients with lung cancer in 18 cases of clinical data. Results: Eighteen patients were misdiagnosed as cerebral infarction, hilar lymph node tuberculosis, bronchitis, obstructive pneumonia, rheumatoid arthritis, infiltrative pulmonary tuberculosis and sciatica respectively. Conclusion: Young people with early symptoms of lung cancer are not typical, easily misdiagnosed; detailed history, physical examination, timely selection of X-ray, sputum or pleural fluid cytology, bronchoscopy, chest CT, in order to assist in the early diagnosis.