以神经精神症状首发的肺癌16例误诊分析  

The misdiagnosis analysis of 16 cases of lung cancer as the first manifestation of neuropsychiatric symptoms

作　　者：施洪[1] 郭润达[1] 史超英[1] 陈忠锃 刘辉强[1] 

机构地区：[1]南京军区福州总医院健康体检中心,福州350025

出　　处：《中国实用神经疾病杂志》2013年第18期7-9,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的总结以神经精神症状首发的肺癌临床特点、误诊原因,以提高对脑先行肺癌的认识。方法对我院1998-05—2010-05收治的124例肺癌患者的临床资料作回顾分析。结果其中16例以神经精神症状发病就诊,首诊时全部误诊,误诊率12.9%,所有病例多次就诊于神经科,被误诊为脑血管病、癫、更年期综合征、原发性脑肿瘤、肩周炎、颈椎病。结论对以神经精神症状发病的患者,除考虑神经系疾病外,还应想到肺癌的脑转移。Objective To investigate the misdiagnosis reasons of 16 cases of lung cancer as the first manifestation of neuropsychiatric symptoms.Methods The data of 124 cases of lung cancer from Mar.1998 to Mar.2010 were retrospectively analyzed.Results 16 patients with lung cancer were misdiagnosed as neuropsychiatric symptoms when the first time to see a doctor and the misdiagnosed rate was 12.9%;These patients were misdiagnosed as the cerebrovascular disease,intractable epilepsy,menopause syndrome,primary brain tumors,periarthritis of shoulder and cervical vertebra disease.Conclusion Patients with neuropsychiatric symptoms,not only is considered as the nervous system diseases,but also the brain metastasis of lung cancer.

关 键 词：肺癌 脑血管病 

分 类 号：R743.2[医药卫生—神经病学与精神病学]