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目的 :了解肺癌的误诊情况 ,观察各级医院对肺癌的误诊是否有差别 ,并通过对误诊的分析提出减少误诊的建议。方法 :对从 1986年 8月 2 9日至 1998年 9月 1日确诊的 941份肺癌病例进行回顾性的调查 ,观察各级医院肺癌的误诊率、被误诊病种及误诊原因。结果 :约 2 /3的患者在初次就诊时曾经被误诊 ,各级医院对III期非小细胞肺癌被误诊成肺炎、支气管炎等几种常见疾病有显著差异 ,有、无误诊对确诊时间有很大影响。结论 :各级医院应重视鉴别诊断 ,特别要注意肺结核、结核性胸膜炎、肺炎、支气管炎等疾病与肺癌的鉴别 ,警惕肺癌的可能性
Objectives: To understand the misdiagnosis of lung cancer, observe whether there are differences in the misdiagnosis of lung cancer at all levels of hospitals, and to provide recommendations for reducing misdiagnosis through the analysis of misdiagnosis. Methods: A retrospective survey of 941 lung cancer cases diagnosed from August 29, 1986 to September 1, 1998 was conducted to observe the rate of misdiagnosis, misdiagnosis, and misdiagnosis of lung cancer at all levels of hospitals. Results: About 2/3 of patients were misdiagnosed at the initial visit. Hospitals at all levels had significant differences in stage III NSCLC misdiagnosed as pneumonia, bronchitis, and other common diseases. There was no misdiagnosis. Great influence. Conclusion: Hospitals at all levels should pay attention to differential diagnosis, especially to the identification of pulmonary tuberculosis, tuberculous pleurisy, pneumonia, bronchitis, and lung cancer, and to be alert to the possibility of lung cancer.