特发性肺间质纤维化36例误诊分析

Misdiagnosis analysis of 36 cases of idiopathic pulmonary fibrosis

目的:探究分析特发性肺间质纤维化患者发生误诊的原因,并提出相关的解决方法。方法:2007年1月-2013年12月收治特发性肺间质纤维化患者36例,均发生误诊,回顾性分析其临床资料,总结分析其发生误诊的原因。结果:本组36例患者中,23例被误诊为慢性支气管炎,10例被误诊为支气管肺炎,3例被误诊为咳嗽变异型哮喘;本组患者的误诊时间2个月~2年,平均(1.1±0.2)年;严格遵守特发性肺间质纤维化诊断标准,同时给予患者肺组织穿刺活检,本组患者均确诊为特发性肺间质纤维化。结论:特发性肺间质纤维化误诊的主要原因是对本病的认识程度不够,在检查时不够仔细,忽略了细节。因此,对于此类患者应进行肺组织活检,同时注重检查结果,认真分析各种现象,能够提高特发性肺间质纤维化的诊断准确率。

Objective:To explore and analyze the misdiagnosis reasons of patients with idiopathic pulmonary fibrosis,to put forward some relevant solutions.Methods:36 patients with idiopathic pulmonary fibrosis were selected from January 2007 to December 2013.They all occurred misdiagnosis.The clinical data were retrospectively analyzed.The misdiagnosis reasons were summarized and analyzed.Results:In 36 cases,23 cases were misdiagnosed as chronic bronchitis;10 cases were misdiagnosed as bronchopneumonia;3 cases were misdiagnosed as cough variant asthma.The misdiagnosis time of patients was 2 months to 2 years,and the averaged was(1.1±0.2) years.We strictly complied with idiopathic pulmonary fibrosis diagnosis standard,while given lung tissue biopsy of patients,the patients in this groups were diagnosed as idiopathic pulmonary fibrosis.Conclusion:The main reasons of misdiagnosis of idiopathic pulmonary fibrosis include not enough awareness of the disease,uncareful inspection and ignored details.Therefore,such patients should be given lung biopsy, while be focused on the test results,a careful analysis of various phenomena can improve the diagnosis accurate rate of idiopathic pulmonary fibrosis.