肺栓塞误诊及漏诊26例临床分析

目的 探讨肺栓塞误漏诊常见原因,提高对肺栓塞的认识和诊断,以降低误、漏诊率、病死率.方法 回顾性分析26例诊断明确的肺栓塞的临床资料及误诊情况,就误、漏诊原因加以分析.结果 肺栓塞常见误漏诊原因为临床医生对肺栓塞的不认识或重视不够;肺栓塞起病隐匿,症状多样,缺乏特异性;合并心、肺慢性疾病掩盖了肺栓塞的临床表现.结论 加强对肺栓塞的认识,对疑似肺栓塞症状患者,特别对有肺栓塞高危因素的人群,应尽早行特异性检查,以提高确诊率和早期抢救成功率.

Clinical analysis of misdiagnosis and missed diagnosis on pulmonary embolism in 26 cases

Objective To discuss the normal reason of misdiagnosis and missed diagnosis on pulmonary embolism,and improve cognition and diagnosis of pulmonary embolism to reduce the misdiagnosis rate and mortality rate.Methods We retrospectively analyzed the clinic data and misdiagnosis reason of 26 cases with pulmonary embolism.Results The misdiagnosis and missed diagnosis cause of pulmonary embolism was mainly because of doctors′ lack of knowledge and limited conditions of medical equipment.Excess symptom,no specificity of clinic feature,complications of cardiac and pulmonary disease induced misdiagnosis and missed diagnosis of pulmonary embolism.Conclusion Enhancing cognition for pulmonary embolism and raising early diagnosis of suspected cases and high-risk group could increase diagnostic accuracy and success rate of early emergency treatment.