老年肺结核病的误诊原因分析  

Analysis on the cause for misdiagnosis of aging pulmonary tuberculosis

作　　者：陈莲[1] 史清明[1] 

机构地区：[1]安徽省肺科医院,安徽合肥230022

出　　处：《疾病控制杂志》2004年第6期557-559,共3页Chinese Journal of Disease Control and Prevention

摘　　要：目的　探讨老年肺结核的误诊原因 ,提高老年肺结核的诊断水平。方法　采用临床分析方法 ,对收治误诊的 6 6例老年肺结核病人进行分析。结果　误诊患者年龄分布差异无显著性 ;农民患者误诊高 (71.2 % ) ;因病就诊高 (98.5 % ) ,主要是合并症和并发症 ;延误诊治 (5 4 .5 % )和医源性误诊 (45 .5 % )并存。平均误诊 4 6 8.74d ,平均住院治疗时间 16 .5 8d。未完成强化治疗者 5 5例 ,占 83.33%。结论　提高老年呼吸道病患者尤其是农民患者对结核病的认识 ,及时到专科医院就诊 ,重视老年呼吸道疾病的诊断 ,减少延误诊断。Objective To realize the cause for misdiagnosis of aging pulmonary tuberculosis. Methods Clinical analysis was used among 66 aged patients with misdiagnosis for pulmonary tuberculosis. Results The rate of farmer patients was higher (71.2%). Among them, a lot of patients (98.5%) went to hospital for their diseases, especially for complication. There are two reasons for misdiagnosis: delaying diagnosis and misdiagnosis from doctors. The average days of misdiagnosis was 468.74 d and the average days of hospitalization was 16.58 d. 83.33% of the patients did not finished the course. Conclusions The aging patients of respiratory tract diseases, especially for farmers, must be sent to special hospitals. The aging respiratory tract diseases should be emphasized to reduce misdiagnosis for tuberculosis.

关 键 词：老年肺结核病 误诊原因分析 就诊 农民患者 并发症 延误诊断 延误诊治 结论 显著性 并存 

分 类 号：R521[医药卫生—内科学] R563.1[医药卫生—临床医学]