肺栓塞误诊原因分析

Analysis of misdiagnosis of pulmonary embolism

目的:探讨肺栓塞误诊原因,以提高其确诊率。方法:选择我院住院102例肺栓塞患者中首诊误诊的75例病例资料,对其临床表现、诊断方法、误诊情况等进行分析。结果:(1)75例肺栓塞患者分别被依次误诊为冠心病心绞痛(30.7%)、心功能不全(26.7%)、肺部感染(17.3%)等疾病,误诊率达73.5%;(2)胸部螺旋CT检出率90.3%。结论:肺栓塞的症状多,且缺乏特异性,误诊率高,螺旋CT是目前推荐的一种早期诊断肺栓塞的重要手段。

Objective： To analysis the rate of diagnosis of pulmonary embolism （PE）. Methods： A total of 102 patients with pulmonary embolism were choose from our hospital, in which 75 cases were misdiagnosised in the first time of treatment, its clinical manifestations, diagnostic methods, misdiagnosis, etc. were analyzed. Results： （1） They were misdiagnosed as angina pectoris （30.7%）, heart failure （26.7%）, lung infections （17.3%） etc. , its misdiagnosis rate was 73.5 percent; （2） The chest spiral CT detection rate of PE was 90.3%. Conclusion： There is high rate of misdiagnosis due to that the symptoms of pulmonary embolism is diverse and more specific detection method was absence. Spiral CT is recommended for early diagnosis of pulmonary embolism.