36例漏诊骨折原因分析  

Causes of 36 cases missed diagnosis of fracture

作　　者：姚刚[1] 牛敬才[1] 尚希福[1] 段丽群[1] 贺瑞[1] 

机构地区：[1]安徽医科大学附属省立医院骨二科,安徽合肥230001

出　　处：《临床骨科杂志》2009年第2期166-168,共3页Journal of Clinical Orthopaedics

摘　　要：目的分析常见骨折的漏诊原因,探讨预防方法。方法对36例骨折漏诊患者进行回顾性分析。结果36例中,10例为合并股骨干骨折的股骨远近端骨折,8例为老年性股骨颈骨折,7例为胫骨平台骨折,5例为脊柱骨折伴截瘫的四肢骨折,6例为月骨周围性脱位。漏诊主要原因为急诊时体检和影像学检查不全面以及医师没有认真分析病情。结论漏诊主要发生在多发伤、高能量损伤和近关节部位骨折患者。医师应对患者行全面体格检查和影像学检查,认真分析病情,提高阅片能力。Objective To study the causes of missed diagnosis of fractures and preventive method. Methods 36 eases of patients with missed fracture were retrospectively analyzed so that the reasons in missed diagnosis were discovered. Results Among 36 patients, there were 10 femoral shaft fractures with ipsilateral metaphyseal fractures, 8 femoral neck fractures, 7 tibial plateau fractures, 5 extremities fi＇actures in spinal fracture with paraplegia and 6 perilunar dislocation. Primary reasons resulting in missed diagnosis included incomplete physical examination and radio- graphy as well as doctor＇s incomprehensive analysis to injury in emergency. Conclusions Cases in missed diagnosis are mainly fi＇om patients with multiple trauma, high-energy injury and fracture near to joint. Therefore, complete physical examination, radiography and analyzing patient＇s condition seriously are effective ways to avoid missed diagnosis.

关 键 词：骨折/放射摄影术 漏诊 

分 类 号：R683[医药卫生—骨科学] R687.3[医药卫生—外科学]