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目的:对急性肺栓塞非特异性临床表现特征及误诊情况进行探讨。方法:选取我院42例急性肺栓塞患者临床资料进行回顾性分析,分析导致误诊发生原因。结果:急性肺栓塞在临床中主要特征主要表现为晕厥、胸痛、咳嗽及呼吸困难等,症状缺乏特异性。41例患者中,22例首次诊断即确诊,准确率为53.66%;19例患者出现误诊,误诊率46.34%。误诊病症主要为:6例支气管炎、5例胸膜炎、4例心力衰竭、3例不稳定型心绞痛及1例慢性阻塞性肺病。误诊的19例患者经初次诊治后无效,采用影像学诊断,最终17例患者确诊为急性肺栓塞,2例未确诊。结论:急性肺栓塞患者临床特征表现不明显,对出现昏厥、胸痛、咳嗽及呼吸困难的患者要加强关注,利用影像学诊断方法提高确诊率,使患者能够得到准确的救治。
Objective: To investigate the nonspecific clinical manifestations and misdiagnosis of acute pulmonary embolism. Methods: The clinical data of 42 patients with acute pulmonary embolism in our hospital were retrospectively analyzed to analyze the causes of misdiagnosis. Results: The main features of acute pulmonary embolism in the clinical manifestations of syncope, chest pain, cough and breathing difficulties, the lack of specificity of the symptoms. Of the 41 patients, 22 were diagnosed for the first time, with an accuracy rate of 53.66%. 19 patients were misdiagnosed with a misdiagnosis rate of 46.34%. Misdiagnosed diseases are mainly: 6 cases of bronchitis, 5 cases of pleurisy, 4 cases of heart failure, 3 cases of unstable angina pectoris and 1 case of chronic obstructive pulmonary disease. Nineteen patients who were misdiagnosed were ineffective after initial diagnosis and treatment, and imaging diagnosis was used. Finally, 17 patients were diagnosed as acute pulmonary embolism and two patients were not diagnosed. Conclusion: The clinical features of patients with acute pulmonary embolism are not obvious. Patients who have syncope, chest pain, cough and dyspnea should pay more attention to it. Imaging diagnosis should be used to improve the diagnosis rate so that patients can get accurate treatment.