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目的:为探讨肺栓塞合并胸腔积液的早期误诊原因,提高对肺栓塞的认识,减少其误诊率。方法:对26例肺栓塞合并胸腔积液的临床病例资料进行回顾性分析。结果:早期误诊为肺部感染12例,结核性胸膜炎4例,慢阻肺呼吸衰竭6例,心功能不全3例,肿瘤1例。结论:肺栓塞合并胸腔积液早期误诊为呼吸系统其他疾病较多,应引起警惕,以提高广大临床医生特别是基层临床医生对肺栓塞的认识和重视。
Objective: To explore the causes of early misdiagnosis of pulmonary embolism combined with pleural effusion, improve the understanding of pulmonary embolism and reduce the misdiagnosis rate. Methods: The clinical data of 26 patients with pulmonary embolism combined with pleural effusion were analyzed retrospectively. Results: Early misdiagnosed as pulmonary infection in 12 cases, tuberculous pleurisy in 4 cases, chronic obstructive pulmonary respiratory failure in 6 cases, cardiac dysfunction in 3 cases, 1 case of tumor. Conclusion: The early diagnosis of pulmonary embolism combined with pleural effusion misdiagnosed as respiratory diseases and other diseases should be vigilant to enhance the general clinicians, especially grassroots clinicians to recognize and attach importance to pulmonary embolism.