肺癌术后并发急性肺栓塞猝死误诊原因分析

为了分析肺癌术后发生急性肺栓塞误诊及治疗失败的原因,对5例误诊的急性肺栓塞患者的临床资料进行回顾性分析。肺癌手术956例,发生急性肺栓塞死亡5例,肺栓塞发生率为0.52%。肺栓塞平均发病时间为5.8 d,确诊时间为肺栓塞发生后平均2.4 d,死亡时间为肺栓塞发生后平均1.8 d。临床表现为突发严重呼吸困难。初步研究结果提示,对急性肺栓塞的认识不足、缺乏特异性的临床表现及综合分析不够全面是导致误诊的主要原因。

Analysis of misdiagnosis with acute pulmonary embolism in postoperative lung cancer

The objective of this study was to analyze the cause and summarize the experience which misdiagnosis the 5 patients with acute pulmonary embolism in postoperative lung cancer.Reviewing and analyzing the clinical data of 5 patients with acute pulmonary embolism in postoperative lung cancer.The operative lung cancer were 956 patients in this group.The died patients were 5 cases with acute pulmonary embolism.The incidence rate of acute pulmonary embolism was 0.52%.The average time of occurring acute pulmonary embolism in postoperative lung cancer was 5.8 d.The average diagnosing time of pulmonary embolism was 2.4 d,and death time was 1.8 d.The clinical representation was severe dyspnea.In conclusion,the deficient cognition,deficiency specific clinical manifestation and insufficient overall of aggregate analysis are the primary cause to result in misdiagnosis with acute pulmonary embolism in postoperative lung cancer.