儿童纵隔肿瘤误诊漏诊临床分析

目的探讨误诊漏诊儿童纵隔肿瘤的原因。方法分析我院25例误诊漏诊纵隔肿瘤的患儿临床资料。结果25例误诊漏诊的纵隔肿瘤患儿中，畸胎瘤10例，淋巴瘤7例，神经母细胞瘤4例，胸腺瘤3例，神经纤维瘤1例，大部分患儿因反复咳嗽，喘息，发热就诊而被误诊为肺炎。结论儿童纵隔肿瘤易于误诊的主要原因为其临床表现不典型或被肺炎掩盖以及临床医生对其认识不足或对摄胸部X线片、CT不够重视而被误诊漏诊，因此临床医生要对儿童纵隔肿瘤高度警惕，以便尽早做相应检查以确诊。

Misdiagnosis and missed diagnosis of mediastinal tumor in children

Objective To explore the causes of misdiagnosis and missed diagnosis of mediastinal tumor in children. Methods The clinical data of 25 children with mediastinal tumor in the Children＇ s Hospital affiliated to Soochow University was analyzed retrospectively. Results These illnesses which led to mediastinal tumor included teratoma （ 10）, lymphoma （7） , neuroblastoma （4） , thymoma （ 3 ） , and neurofibroma （ 1 ）. Most cases were misdiagnosed as pneumonia because of repeated coughing, wheezing, and fever. Conclusion The causes of their misdiagnosis and missed diagnosis were that their manifestations were not typical or were covered by pneumonia, as well as inadequate understanding by clinicians where their chest X-ray film, and CT do not attract enough attention. Therefore clinicians should be on high alert to do the corresponding inspection as early as possible to confirm the diagnosis.