外伤后3天内复查的临床意义探讨

目的探讨外伤后3天内复查的临床意义,旨在提高医疗质量,降低外科、放射科医疗纠纷及漏诊,缓解医患之间紧张关系。方法选取南通市通州区第八人民医院收治的外伤患者病例113例,回顾性分析复查X线表现及其他检查表现如CT等。结果 94例骨折患者复查显示骨折,6例骨折患者复查显示增加骨折,可疑骨折患者复查显示肯定骨折4例,否定骨折5例,未发现骨折患者复查显示骨折2例,还有2例未果。常规摄肋骨正左右斜位,正位阳性率53%,左斜位阳性率64%,右斜位阳性率52%,辅助CT检查患者15例。结论诊断率90%(100/111),漏诊、误诊率10%(11/111)。3天内复查后,诊断率98%(109/111)。

Objective Discuss trauma within three days after the review of the clinical application of in trauma patients, to improve the medical quality, reduce the misdiagnosis and surgery, radiology medical disputes and to ease the tensions between doctor and patient. Methods Sample cases of trauma patients 113 cases, retrospectively review X-ray performance and other tests such as CT, etc. Results 94 fracture patients review display fracture, 6 cases of bone fracture patient review shows that the increased fracture, suspicious fractures, fracture patients show a review of the 4 cases, no fracture in 5 cases, review found no fracture patients showed 2 cases of fracture, regular perturbation ribs are inclined a around, is a positive rate of 53%, left diagonal positive rate 64%, right Angle positive rate 52%, auxiliary 15 patients with CT examination. Conclusion The diagnostic rate 90% （100/111）, missed diagnosis and misdiagnosis rate is 10% （11/111）. Three days the review ; the diagnostic rate 98% （109/111）.