摘要
目的 :为进一步提高对肺栓塞的认识 ,减少误诊和漏诊。方法 :对我院呼吸内科 33例曾经误诊为其它疾病的肺栓塞患者的临床资料进行回顾性分析。结果 :大部分肺栓塞均存在基础疾病 ;误诊疾病以心脑血管疾病和肺部疾病为主 ;误诊原因是多方面的 :疾病本身原因 (临床表现复杂 )、临床医师对该疾病的认识不够 ,经验不足等有关。结论 :提高临床医师对肺栓塞的复杂变化规律认识 ,及时采用现有的检查方法 ,结合临床特征综合分析 ,可避免误诊和漏诊。
Objective:To promote the understanding and decrease the misdiagnosis of pulmonary embolism. Methods: Thirty-three cases of pulmonary embolism who were misdiagnosed as other diseases were reviewed retrospectively. Results:Most patients had fundamental diseases;and most of them were misdiagnosed as cardiovasculer, cerebrovascular and lung diseases. The causes of misdiagnosis were various: the complexity of the disease itself, insufficiency understanding of pulmonary embolism and lack of experience in diagnosis of the diseases and etc. Conclusion:To improve the understanding of pulmonary embolism, application of available instruments, misdiagnosis can be greatly avoided.
出处
《内科急危重症杂志》
2004年第4期187-188,191,共3页
Journal of Critical Care In Internal Medicine
关键词
肺栓塞
相关疾病
综合诊断
Pulmonary embolism Related disease Comprehensive diagnosis
