肺动脉栓塞误诊临床分析

目的 探讨肺动脉栓塞常见的误诊原因,加深对肺动脉栓塞的诊断意识.方法 对我院2003年8月-2011年3月误诊的25例肺动脉栓塞患者的临床表现、危险因素及辅助检查进行回顾性分析.结果 25例患者误诊为冠心病心力衰竭17例,冠心病心绞痛2例,冠心病合并肺感染3例,心源性晕厥2例,急性心肌梗死1例.结论 肺动脉栓塞是一种临床上相对认识不足的疾病,容易误诊和误治,应加强重视,提高鉴别诊断能力,减少误诊的发生.

Clinic Analysis of Misdiagnosed Pulmonary Embolism

Objective To study the reason of misdiagnosing pulmonary embolism and to improve the identification of pulmonary embolism.Methods Retrospective studied the clinical features,risk factors and accessory examinations in the 25 cases of misdiagnosed pulmonary embolism from August 2003 to March 2011 in our department.Results Among these patients,17 cases were misdiagnosed as coronary heart disease and heart failure,2 cases as angina pectoris,3 cases as coronary heart disease complicating lung infection,2 cases as cardiogenic syncope,1 case as acute myocardial infarction.Conclusion Pulmonary embolism is an important and commonly encountered disease,which is not understand well enough as yet by Chinese doctors.Early diagnosis and treatment without delay is critical to the prognosis,so clinicians should be familiar with characteristics of pulmonary embolism to reduce its misdiagnosis.