442例咯血患者误诊原因回顾性分析

目的:分析442例咯血患者误诊的原因。方法:观察并记录442例咯血患者的年龄、性别、X线及纤支镜检查结果、初步诊断和最后诊断,分别计算各种疾病的误诊率,并分析误诊原因。结果:误诊率较高的前5位疾病分别为:肺曲菌病(79.8%),支气管内膜结核(75%),肺隐球菌病(71.43%),肺栓塞(61.5%),支气管结核合并肺癌(51.84%)。结论:咯血可由多系统多器官疾病引起,这些疾病往往缺乏特异性的症状和体征,在诊断时必须仔细鉴别才能避免误诊。

Retrospective Analysis of Misdignostic Reasons of 442 Patients with Hemoptysis

Objective:To analyse the misdiagnostic reasons of 442 patients with hemoptysis. Methods:The ages,sexes,X-ray and fiberoptic bronchoscope findings,primary and final diagnosis of 442 cases were observed and recorded,then misdiagnostic rates of various kinds of diseases were calculated separately and the misdiagnostic reasons were analysed. Results:The top five diseases misdiagnosed were pulmonary aspergillosis(79.8%),endobronchial tuberculosis(75%),pulmonary cryptococcosis(71.43%),pulmonary embolism(61.5%)and pulmonary tuberculosis with lung cancer(51.84%). Conclusion:Hemoptysis can be induced by multiple system and multiple organ disorders,which lack specific symptoms and sighs. So these diseases must be distinguished carefully in clinic to decrease the rate of misdiagnosis.