肺栓塞误诊69例分析

Analysis of 69 cases of misdiagnosied pulmonary embolism

目的分析肺栓塞误诊原因,对高危人群力争早诊断早治疗。方法回顾性分析69例肺栓塞(Pulmonaryembolsm,PE)的临床资料及误诊情况。结果由于肺栓塞发病症状的不典型和多样性,在69例肺栓塞患者中,外院误诊及本院入院首诊误诊达60例,误诊率占87%,结论肺栓塞的误诊率较高,应加强对肺栓塞的认识,对疑似肺栓塞症状患者,特别是高危人群应给予警惕,尽早行特异性检查,以提高确诊率和早期抢救成功率。

Objective To improve early diagnosis and treatment through analysis of miscliagnosed reason of pulmonary embolsm （PE）. Methods Review of clinical data and misdiagnosed reasons of 69 cases with PE. Results Sixty cases from our hospital and others were miscliagnosed in 69 cases because the clinical features of PE were atypical and multiple. The rniscliagnosed rate was 87 %. Conclusion The diagnostic recognition and treatment of PE should be improved. Special detection to improve the rate of definite diagnosis and early successful treatment especially in high-risk group should be practised promptly.