急性肺栓塞误漏诊原因分析及防范

Cause analysis and prevention of misdiagnosis and missed diagnosis of acute pulmonary embolism

目的:探讨急性肺栓塞误漏诊原因,提出防范措施,提高诊断率。方法:收治首诊误漏诊的急性肺栓塞患者29例,回顾性分析其临床资料。结果:29例患者被误诊为肺炎11例(37.93%),冠心病3例(10.34%),肺结核2例(6.90%),支气管哮喘2例(6.90%),间质性肺炎1例(3.45%)。结论:要提高急性肺栓塞的诊断率,关键是提高诊断意识,详细询问病史,仔细查体,运用科学的思维方式综合分析。

Objective:To investigate the causes of misdiagnosis and missed diagnosis of acute pulmonary embolism,to proposed preventive measures,to improve the diagnostic rate.Methods:29 misdiagnosis and missed diagnosis patients with acute pulmonary embolism were selected,and clinical data were retrospectively analyzed.Results:In 29 patients,11 cases(37.93% ) were misdiagnosed as pneumonia,3 cases(10.34% ) of coronary heart disease,pulmonary tuberculosis in 2 cases(6.90% ),bronchi alasthma in 2 cases(6.90%),interstitial pneumonia in 1 case(3.45%).Conclusion:To improve the diagnostic rate of acute pulmonary embolism,the keys were to improve diagnostic awareness,detailed inquiry history,carefully check the body,and the use of scientific thinking for comprehensive analysis.