肺动脉栓塞早期误诊14例原因分析  

Analysis about Early Misdiagnostic Causes of 14 Cases Involving Pulmonary Embolism

作　　者：冯璞[1] 刘长庭[2] 陈海伦[3] 宋玉敏[1] 袁重果[1] 王英[1] 

机构地区：[1]清华大学玉泉医院,北京市100049 [2]中国人民解放军总医院 [3]首都医科大学

出　　处：《中国全科医学》2006年第20期1710-1711,1713,共3页Chinese General Practice

摘　　要：目的分析影响肺动脉栓塞早期诊断的原因。方法收集我院1997年3月～2005年6月收治的16例肺动脉栓塞患者的临床资料。结果16例肺栓塞患者中早期误诊14例,误诊率为87.1%。误诊原因主要包括:(1)肺栓塞的临床表现缺乏特征;(2)X线胸片敏感性和特异性较低;(3)医师对肺栓塞认识不足。结论临床医师应提高对肺栓塞的认识,对于高度怀疑的肺栓塞患者,应尽早行肺部增强CT或肺动脉造影等检查。Objective To analyze the causes of early misdiagnosis of pulmonary embolism （PE）. Methods The data of 16 patients with pulmonary embolism were collected from March 1997 to June 2005. Results In 16 cases with pulmonary embolism, 14 were misdiagnosed, the misdiagnostic rate was 87. 1%. The main misdiagnostic causes included ： （ 1 ） manifestation of pulmonary embolism were not characteristic; （2） the sensibility and specificity of chest radiography were low; （3） doctors know a little of pulmonary embolism. Conclusion Clinical physicians should pay more attention to pulmonary embolism, pulmonary arteriography shoud be used if it is necessary.

关 键 词：肺动脉栓塞 误诊 

分 类 号：R543.5[医药卫生—心血管疾病]