摘要
目的 分析肺栓塞诊断方法及误诊、误治后果。方法 根据 31例肺栓塞的首发症状、初步诊断、辅助检查等分析误诊原因。结果 31例肺栓塞当日确诊仅 7例 ,3日内诊断 10例 ,1周内诊断 4例 ,2周内诊断 2例 ,延误诊断 8例。而首日诊断为缺血性心脏病者占 35 5 % ,肺部其他疾病占 2 5 8%。结论 肺栓塞延误诊断与死亡率呈正相关。
Objective To analyse the diagnostic methods of pulmonary embolism and the consequences of misdiagnosis and mistherapy of the disease.Methods Based on the initial sympton, preliminary diagnosis and accessory examinations in 31 cases of pulmonary embolism, we analysed the causes of misdiagnosis.Results Of thirty one cases of the patients with pulmonary embolism, only seven cases were definitely diagnosed within the day of referral; ten of them ,within three days; four within one week; two within two weeks and eight cases had delayed diagnosis. The diagnosis of ischemi cheart diseases accounted for 35.5 percent of patients on the first day of referral;lung diseases were diagnosed in 25.8 percent of them.Conclusion There was a positive correlation of delayed diagnosis with the mortality. Correct diagnosis in the early stage of the disease and prompt treatment could reduce the mortality.
出处
《临床误诊误治》
2001年第3期184-186,共3页
Clinical Misdiagnosis & Mistherapy
关键词
肺栓塞
诊断
治疗
尿激酶
栓复欣
误诊
Lung diseaseas
Pulmonary embolism/diagnosis
Pulmonary embolism/therapy
Diagnostic errors
Coronary Diseases/diagnosis
Urinary plasminogen activator
