摘要
目的分析喉结核患者延误诊断的相关因素。方法收集2005年1月—2010年1月南阳市结核病防治所就诊的延误诊断的喉结核患者23例,对其延误诊断的原因进行分析。结果 23例延误诊断的患者中,男性14例,女性9例,年龄21～74岁,平均年龄56.5岁。患者≤60岁16例,平均延误时间2.43个月;>60岁7例,平均延误时间4.13个月,差异有统计学意义(P<0.05)。就诊延迟10例,占43.5%,平均误诊时间3.59个月;确诊延迟13例,占56.5%,平均误诊时间3.4个月。确诊延迟患者中误诊为喉部肿瘤6例,声带息肉3例,非特异性喉炎2例,会厌溃疡2例。13例确诊延迟患者初次就诊于非结核专科医院11例(占84.6%)。结论误诊是延误诊断的主要因素,就诊延误也不可忽视。
Objective To analyze the relative factors of delay in diagnosis of patients with laryngeal tuberculosis. Meth-ods Analyzing the reasons of delay in diagnosis of 23 patients with laryngeal tuberculosis who were treated in Nanyang Tuberculosis Center from January,2005 to January, 2010. Results Among 23 cases, there were 14 male patients and 9 female patients. Age from 21 years old to 74 years old. The average age is 56. 5. There were 16 patients （ ≤ 60 years old）. The average delay time eas 2. 43 months; There was 7 patients（ 〉60 years old）. The average delay time was 4. 13 months. The difference was statistically significant （P 〈 0. 05）. 10 cases was treatment delay. （43.5%）. The average de-lay time was 3.59 months; 13 cases was diagnosis delay （56. 5% ）. The average delay time was 3.4 months. Among them, there was 6 cases of misdiagnosis of laryngeal tumor, 3 cases of vocal cord polyp, 2 cases of non - specific laryngitis and 2 cases of epiglottic ulcers. Among the 13 cases, there was 11 cases with initial treatment in non - hospitals （84. 6% ）. Conclusions Misdiagnosis is the main factor of delayed diagnosis and treatment delays is also not ignored.
出处
《医药论坛杂志》
2012年第11期49-50,共2页
Journal of Medical Forum
关键词
喉结核
误诊
诊断
Laryngeal tuberculosis
Misdiagnosis
Diagnosis
