肺栓塞诊治若干问题的探讨（附31例报告）

目的 分析肺栓塞诊断方法及误诊、误治后果。方法 根据31例肺栓塞的首发症状、初步诊断、辅助检查等分析误诊原因。结果 31例肺栓塞当日确诊仅7例，3日内诊断10例，1周内诊断4例，2周内诊断2例，延误诊断8例，而首日诊断为缺血性心脏病者占35.5%，肺部其他疾病占25.8%。结论 肺栓塞延误诊断与死亡率呈正相关，早期诊断正确治疗可以降低死亡率。

Some considertions in diagnosis and treatment of pulmonary embolism

Objective To analyse the diagnostic methods of pulmonary embolism and the consequences of misdiagnosis and mistherapy of the disease.Methods Based on the initial sympton, preliminary diagnosis and accessory examinations in 31 cases of pulmonary embolism, we analysed the causes of misdiagnosis.Results Of thirty one cases of the patients with pulmonary embolism, only seven cases were definitely diagnosed within the day of referral; ten of them ,within three days; four within one week; two within two weeks and eight cases had delayed diagnosis. The diagnosis of ischemi cheart diseases accounted for 35.5 percent of patients on the first day of referral;lung diseases were diagnosed in 25.8 percent of them.Conclusion There was a positive correlation of delayed diagnosis with the mortality. Correct diagnosis in the early stage of the disease and prompt treatment could reduce the mortality.