髌骨纵行骨折漏诊7例分析  

Analysis on Missed Diagnosis of 7 Patients With Longitudinal Fracture of Patella

作　　者：龚子顺 盖伟[1] 

机构地区：[1]首都医科大学良乡教学医院,北京102401

出　　处：《职业卫生与病伤》2015年第4期255-257,共3页Occupational Health and Damage

摘　　要：目的通过分析误诊原因,提高对髌骨纵行骨折的认识,减少漏诊发生。方法回顾性分析7例漏诊患者的临床资料、探究漏诊原因。结果 7例漏诊患者,均在复查时发现,漏诊时间平均4.5 d,最短1.0 d,最长10.0 d。通过加拍轴位X-ray或CT确诊,其中保守治疗5例,手术2例,复查骨折均愈合。结论为杜绝漏诊发生,应提高认识,详细查体,必要时加拍轴位X-ray或CT。Objective To analyze the missed diagnosis reason for improving the understanding of longitudinal fracture of patella and reduce the occurrence of missed diagnosis. Methods The clinical data of the 7 missed diagnosis patients were retrospectively analyzed. Results All the 7 cases were found at re - examination. The average time of missed diagnosis was 4. 5days, with the minimum of one day and maximum of 10days. The ca- ses were confirmed by X - ray or CT test ; 5 of them were received conventional treatment and 2 were received surgery, all resulted in union. Conclusion The missed diagnosis could be avoided by more sensitive awareness and more careful examination, and X -ray or CT could be taken in to consideration when necessary.

关 键 词：髌骨 纵行骨折 漏诊 

分 类 号：R683.4[医药卫生—骨科学]