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目的探讨非大面积急性肺栓塞的临床特征及临床误诊的易发情况。方法回顾性分析急性肺栓塞患者18例的临床资料,对其临床特征进行统计分析,并对误诊的情况进行整理,汇总其误诊的主要原因。结果急性肺栓塞的临床表现情况不明显,与其他病症的类似情况是造成误诊的主要因素,在临床过程中,急性肺栓塞的呼吸困难、胸痛、咳嗽、晕厥为一般的表现特征,在影像学检查过程中,具有多样性,在诊断的过程中需要多种方法联合确诊。结论在临床诊断的过程中,急性肺栓塞患者的判定主要依据临床症状、体征、实验室检查、心脏彩超、肺部X线表现,采用疑诊、确诊、求因三个步骤进行诊断,从而达到减少对急性肺栓塞的漏诊和误诊。
Objective To investigate the clinical features and clinical misdiagnosis of non-large-area acute pulmonary embolism. Methods The clinical data of 18 patients with acute pulmonary embolism were retrospectively analyzed. The clinical features were analyzed statistically. The misdiagnosis was summarized and the main causes of misdiagnosis were summarized. Results The clinical manifestations of acute pulmonary embolism were not obvious, and other similar conditions were the main causes of misdiagnosis. In the clinical course, acute pulmonary embolism had dyspnea, chest pain, cough, and syncope as the general characteristics. During the inspection process, there are many kinds of methods that need to be confirmed in the process of diagnosis. Conclusion In the process of clinical diagnosis, the judgment of patients with acute pulmonary embolism is mainly based on the clinical symptoms, signs, laboratory tests, echocardiography, pulmonary X-ray findings, using the three steps of suspected diagnosis, diagnosis and seeking diagnosis, so as to achieve Reduce the missed diagnosis and misdiagnosis of acute pulmonary embolism.