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放射科肋骨骨折的漏诊原因分析及防范措施

Causes of missed diagnosis and preventive measures of rib fracture in radiology
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摘要 目的:探讨放射科肋骨骨折漏诊的原因及其防范措施,以降低肋骨骨折的漏诊率。方法:回顾2007年8月~2009年5月本院收治的肋骨骨折放射科首诊漏诊患者25例,分析其漏诊原因。结果:25例患者中16例(64%)因单一体位、体位选择不当或受限所致;6例(24%)因摄片条件差异及其他影像遮盖所致;3例(12%)因放射科医师读片不仔细、马虎等情况所致。结论:采取多体位摄片、选择合适的摄片条件、放射科医师结合病史仔细阅片以及及时复查,才能最大限度地减少肋骨骨折的漏诊。 Objective:To investigate the causes of missed diagnosis and preventive measures of rib fracture in radiology,in order to reduce rate of missed diagnosis about rib fracture.Methods:Analyzed the causes of 25 patients of rib fractures which were missed diagnosis by radiology in first diagnosed from August 2007 to May 2009 in our hospital.Results:In 25 patients,16 patients(64%) were missed diagnosis due to Single position,improper selection or restricted position;6 cases(24%) were missed diagnosis radiography conditions vary and covered by other imaging;3 cases(12%) were missed diagnosis due to physician reading X-ray film were not careful,careless,etc..Conclusion:Take much postures radiography,choose appropriate radiography conditions,radiologists combining with the history carefully read a slice and timely review,in order to maximize missed diagnosis of rib fracture reduction.
作者 马军
出处 《中国当代医药》 2011年第20期94-95,共2页 China Modern Medicine
关键词 肋骨骨折 X线检查 漏诊率 骨折 Rib fractures; X-ray; Rate of missed diagnosis; Fractures;
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