941例肺癌患者误诊情况分析及减少误诊的建议

目的：了解肺癌的误诊情况，观察各级医院对肺癌的误诊是否有差别，地误诊的分析提出减少误诊的建议。方法：对从１９８６年８月２９日至１９９８年９月１日确认的９４１份肺癌病例进行回顾性的调查，中级医院肺癌的误诊率、被误诊病种及误诊原因。结果：约２／３的患者在初次就诊时曾经被误诊，各级医院对Ⅲ期非小细胞肺癌被误诊成肺炎、支气管炎等几种常见疾病有显著差异，有、无误诊对确诊时间有很大影响。结论：各级医院应重视鉴

The Analysis of Misdiagnosis among 941 Lung Cancer Patients and Some Suggestions to Avoid the Misdiagnosis

Object:To analyse the midsdiagnosis of lung cancer in different graded hospitals and to offer suggerstions to avoid misdiagnosis.Methods:Retrospective analysis was performed on 941 cases of lung cancer from August 1986 to September 1998.The misdiagnosis rate in differnet hospitals,the misdiagnosed diseases and its causes were studied.Results:About 2/3 lung cancer patients has been misdiagnosed as some unrelated diseases on initial consultation. Some stage III NSCLC were misdiagnosed as pneumonia or bronchitis in differnet graded hospitals and it interfered in early diagnosis of lung cancer.Conclusion:The clinicians in different graded hospital must pay attention to distinguish the common pulmonary diseases as pulmonary tuberculosis,tuberculous pleuritis,pneumonia and bronchitis from lung cancer and heighten the vigilance for an early lung cancer.