成年人肺隔离症误诊分析

Misdiagnostic Analysis of Pulmonary Sequestrafion in Adults

目的 探讨成年人肺隔离症误诊原因及预防。方法 回顾性分析 1985 - 0 1～ 2 0 0 2 - 12收治的成年人肺隔离症 16例误诊的原因。结果 10例误诊 ,误诊率为 6 2 .5 %。其中 6例由基层医院首诊 ,误诊率为 10 0 %。误诊时间 3个月～ 8a。结论 成年人肺隔离症的临床特征为非特异性 ,发病率低 ,临床医生对本病的认识不足是误诊的主要原因。认真仔细分析影像学资料 ,结合临床表现是减少误诊的关键。

Objective To analyze clinical manifestation, cause of misdiagnoses of Pulmonary sequestration in adults and to reduce the misdiagnosis rate.Methods From 1985.1 to 2002.12,16 patients with pulmonary sequestration were retrospectively analyzed.Results 10 cases were misdiagnosed(62.5%),including 6 cases which were misdiagnosed by primary level hospitals.Conclusions The characteristics of pulmonary sequestration were non specific.The low incidence and lack of knowledge of pulmonary sequestration were the main reasons for misdiagnosis. It could be avoided by improve awareness of pulmonary sequestration and by analysis of data of imagines and state of the illness.