肺栓塞12例误诊分析

The Clinical Analysis of 12 Cases with Puhnonary Embolism Mistake Diagnostic

目的:通过对肺栓塞误诊病例的临床特点分析,探讨肺栓塞的误诊原因,总结经验教训,减少肺栓塞的误诊率。方法:对12例肺栓塞误诊病例的临床资料进行回顾性分析。结果:12例初诊的肺栓塞患者全部误诊,误诊的时间6天～8个月,其中2例死亡。结论:PE是涉及多学科的疾病且患者缺乏典型临床表现及体征,应强化对PE的诊断意识,同时对高危人群采取预防措施。

Objective: To investigate the reason of pulmonary embolism mistake diagnostic by analyse clinical characteristic of the case with pulmonary embolism mistake diagnostic, summarized experience and lesson to reduce mistake diagnostic rate of PE. Methods: we reviewed clinical data of 12 cases with pulmonary embolism mistake diagnostic. Results: 12cases with PE all had wrong diagnosis in first consultation, the duration of mistake diagnostic was six days to eight months, 2cases died. Conclusion: PE is a disease which involved many subjects, Patients with PE lacked typical symptoms and signs, It is important to strengthen diagnostic consciousness on PE, the patient with high risks should be taken preventable measure at the same time.