青年人肺癌的误诊原因分析及其早期诊断

Analysis of misdiagnosis cause and early diagnosis of pulmonary carcinoma in young adults

对我院1980～1996年间临床误诊的25例青年人肺癌进行了回顾性分析，以期提高青年人肺癌的早期确诊率。25例误诊患者占同期青年人肺癌患者的71．4％。误诊疾病为肺炎、肺结核、支气管扩张、纵隔肿物、肺脓肿等。对误诊原因进行了分析，并就其早期诊断、减少误诊的发生提出了相应的对策。

: In order to elevate the accuracy of early diagnosis, we have retrospectively analysedthe misdiagnosis of pulmonary carcinoma that was demonstrated by fiberoptic bronchoscopy and patho- logic test in 25 young patients from 1980 to 1996. The misdiagnosed patients accounted for 71. 4% ofthe young patients with pulmonary carcinoma in the hospital during the same period. The diseases ofmisdiagnosis were pneumonia, pneumonophthisis, bronchiectasis, mediastinal tumor, and pulmonaryabscess etc. The causes of misdiagnosis were also discussed and we put forward the relevant countermea-sure to decrease the rate of misdiagnosis for early diagnosis of pulmonary carcinoma in young adults.