以脑部症状首发的肺癌脑转移28例误诊分析  

Misdiagnosis analysis of 28 cases of brain metastasis of lung cancer with brain symptom first

作　　者：刘飞艳 袁艳荣[2] 徐凌忠[1] 

机构地区：[1]山东大学公共卫生学院,济南250012 [2]滨州医学院附属医院足踝外科

出　　处：《滨州医学院学报》2018年第1期29-31,共3页Journal of Binzhou Medical University

摘　　要：目的通过对脑部症状首发的肺癌误诊分析,提高对脑部症状首发肺癌的认识,减少误诊发生率。方法对我院2010年10月至2016年10月收治的以脑部症状首发的28例肺癌患者的临床资料进行回顾性分析。结果 28例病人就诊于我院的神经内外科。28患者误诊为脑出血12例(42.6%),脑梗塞10例(35.7%),胶质细胞瘤3例(10.7%),癫痫2例(7.1%),精神病1例(3.6%)。结论出现脑部症状及诊断颅内疾病时,要想到肺癌颅内转移的可能性,要详细询问病史,全面体检,及时行胸部影像学检查,动态观察颅内CT或MIR影像学变化。Objective To improve the understanding of lung cancer with brain symptom and less misdiagnosis rate by analyzing the misdiagnosis of lung cancer with brain symptom first.Methods The clinical data of 28 lung cancer patients from October 2010 to October 2016 with brain initial symptoms were retrospectively analyzed.Results Twenty-eight patients were admitted to the departments of neurology and neurosurgery of the hospital.Twenty-eight patients were misdiagnosed as cerebral hemorrhage in 12 cases（42.6%）,10 cases of cerebral infarction（35.7%）,3 cases of glioma（10.7%）,2 cases of epilepsy（7.1%）,and 1 case of psychosis（3.6%）.Conclusion When brain symptoms and diagnosis of intracranial disease occur,we should think of the possibility of intracranial metastasis of lung cancer,inquire about the detailed history,do physical examination,timely carry out chest imaging,and dynamically observe intracranial CT or MIR imaging changes.

关 键 词：肺癌 脑转移 误诊 

分 类 号：R734.2[医药卫生—肿瘤]