摘要
目的:分析胸部外伤后肋骨骨折漏诊的原因及避免漏诊的措施,提高对肋骨骨折X线的正确诊断符合率,减少漏诊。方法:对40例肋骨骨折漏诊病历进行回顾性分析,利用X线检查,对患者采用正、斜位片及透视点片。结果:40例漏诊、误诊病例中,12例为肋骨解剖因素所致;17例因病情严重、投照因素所致;其他因素漏诊、误诊11例。结论:胸部外伤后,由于检查方式不够全面等因素,是导致肋骨骨折漏诊的主要原因。
Objective: To analyze the reasons of missed diagnosis in ribs fracture after chest trauma and find out the preventive measures.Furthermore,we improve the correct diagnostic accuracy and reduce the missed diagnosis.Methods: Analyze the 40 cases of ribs fracture missed diagnosis retrospectively.Let every patient take X-ray films of chest PA(and chest OBL) and fluoroscopy point slice.Results: Among the 40 cases,12cases re-sult from ribs anatomical factors: 17cases result from the series illness and projection;11cases result from other factors.Conclusions: The incomplete and unthorough examination is the main reason of missed diagnosis after suffering chest trauma.
出处
《安徽卫生职业技术学院学报》
2011年第4期60-61,共2页
Journal of Anhui Health Vocational & Technical College
关键词
肋骨骨折
X线诊断
漏诊
ribs fracture
X-ray diagnosis
missed diagnosis