论文部分内容阅读
目的:分析首诊误漏诊肺栓塞病例的发病特点,判断首诊误漏诊的原因,减少误漏诊发生的机率。方法:回顾性分析我院治疗的首诊误漏诊40例肺栓塞病例临床资料。结果:这40例肺栓塞患者表现出呼吸困难、心跳过快、干咳、胸部疼痛、有湿罗音。除肺栓塞还伴有的疾病有深静脉血栓于下肢、支气管炎,肺栓塞临床首诊判断的正确率只占76%。结论:肺栓塞在常规诊断办法中的临床表现不具有特殊性,所以导致首诊误漏诊的例数则更多。为此医学各界应进一步加强对各科室门诊和住院医师关于肺栓塞知识教育,开展讲座,不断总结病例,才能尽可能做到准确对肺栓塞的诊断。
OBJECTIVE: To analyze the incidence of first missed diagnosis and missed diagnosis of pulmonary embolism, determine the cause of first missed diagnosis and reduce the chance of misdiagnosis. Methods: The clinical data of 40 cases of pulmonary embolism who missed the first diagnosis and treatment in our hospital were retrospectively analyzed. Results: The 40 patients with pulmonary embolism showed dyspnea, rapid heartbeat, dry cough, chest pain and wet rales. In addition to pulmonary embolism is also accompanied by diseases of deep venous thrombosis in the lower extremities, bronchitis, pulmonary embolism clinical diagnosis of the first diagnosis accounted for only 76%. Conclusion: The clinical manifestations of pulmonary embolism in routine diagnostic methods are not specific, so the number of cases leading to missed diagnosis is even more. To this end all sectors of medicine should further strengthen the out-patient and resident physicians in all departments of knowledge about pulmonary embolism, to carry out lectures, continue to summarize cases in order to be as accurate as possible diagnosis of pulmonary embolism.