青年肺癌病例误诊分析(X线与手术病理对照)

The Analysis of Misdiagnosis of Young Patients with Bronchogenic Carcinoma

作者分析了39例青年肺癌病例X线误诊情况,误诊为肺炎21例;结核14例;炎性假瘤、纵隔肿瘤、错构瘤、支气管囊肿各1例,认为误诊的主要原因是:1 思维方法不当,受病人年龄因素干扰;2 未详细分析X线征象;3 X线征象与临床资料结合不紧,缺乏鉴别诊断的经验;4 X线和临床表现不典型;5 检查手段不充分。

39 misdiagnosecl young cases of bronchogenic carcinoma were collected, 21 cases were misdiagnosed as pneumonia, 14 as tuberculosis, 1 as inflammatory pseudotumor, 1 as tumor of mcdiastium, 1 as hamartoma, 1 as bronchogenic cyst. After a detailed review of the chest films, we summari/cd that the main reasons leading to niisdiagnosis included: 1 The inappropriate thinking way was mislead by the patient's age; 2 X-ray features were not clearly analyzed; 3 X-ray features were not connected with clinical manifestation, because of poor experience of differential diagnosis; 4 Atypical clinical and X-ray manifestation; 5 The methods of examination were not fully employed.