120例女性肺癌患者延误就诊原因分析  

Reasons for delay in the diagnosis and treatment of 120 female patients with lung cancer

作　　者：王培兰[1] 马秀清[2] 周素月[1] 卢倩[1] 孙建新[1] 李振钢[1] 牟小芬[1] 

机构地区：[1]中国人民解放军总医院门诊部,北京100853 [2]中国人民解放军总医院呼吸科,北京100853

出　　处：《临床肺科杂志》2015年第3期391-393,共3页Journal of Clinical Pulmonary Medicine

基　　金：解放军总医院临床科研扶持基金(No 2013PC-GLCX-3001)

摘　　要：目的调查分析1409例女性肺癌患者中120例延误就诊的原因。方法研究我院收治的1409例女性肺癌患者,将患者出现症状3个月后方来就诊的时间归为延误就诊,进行临床病例分析。结果120例延误就诊患者中主要症状是咳嗽、咯痰、咯血和气短,少数患者以转移部位出现的局部症状为首发症状。本组患者在就诊时就已出现转移病灶者85例(70.83%)。72.5%的患者病理诊断为腺癌。结论忽视早期出现的呼吸道症状是女性肺癌患者延误就诊的主要原因之一。Objective To investigate the reasons for delays in the diagnosis and treatment of lung cancer a-mong 120 female patients. Methods This study was based on 1409 female patients with lung cancer in our hospital. Patients′delay was defined as the time elapsed over 3 months from onset of first symptoms to initial consultation. Re-sults Patients′delay was established in 120 cases. Cough, sputum, hemoptysis and chest tightness were the main symptoms of the initial stage. Few patients′s first symptoms were metastases. 85 patients were diagnosed as metastasis when they consulted with doctor. The frequence was even higher in the group of adenocarcinoma （72. 5%）. Concl-usion The major factor influencing patients＇ delay in female patients is neglecting the symptoms by themselves for the early symptoms of lung cancer.

关 键 词：延误就诊 肺癌 女性 

分 类 号：R734.2[医药卫生—肿瘤]