青年肺癌46例临床及误诊分析

Clinical and misdiagnosis analysis of 46 young patients with lung cancer

目的 探讨青年肺癌的临床特点和误诊原因。方法 对1988～1997年收治的46例青年肺癌进行分析。结果 青年肺癌以低分化、恶性度高、转移早的类型多见;多误诊为肺部感染性疾病。误诊原因有:认识不足、检查手段落后、诊断水平较低、临床和X线表现不典型、治疗效果不佳时未及时考虑诊断的正确性。结论 提高对青年肺癌的认识、改善检查手段、提高诊断水平对减少误诊有重要意义。

Objective To probe the clinical characteristic and the causes of misdiagnosis in the youthful lung cancer. Methods Fourty-six cases of young patients with lung cancer hospitalized from 1988 to 1997 were analyzed retrospectively. Results The youthful lung cancer were usually found to be poorly differentiated, high degree of malignancy with early metastasis, which were often misdiagnosed as lung infective diseases. The causes of misdiagnosis including deficieat recognition,behind examinational means,lower diagnosis level, untypical clinical and X-ray presentations and emissive of the validity of diagnosis when the therapeutical effect was not good. Conclusion It is important to reduce erroneous diagnosis to raise the recognition and diagnostic level about youthful lung cancer,improve the examinational means.