急诊科脑血管疾病误诊的相关因素分析  

Related factors of misdiagnosis of cerebrovascular diseases in emergency department

作　　者：陈富明 王清嵩 Chen Fuming;Wang Qingsong(Shenzhen Longhua District People's Hospital,Shenzhen,Guangdong 518109,China)

机构地区：[1]广东省深圳市龙华区人民医院,广东深圳518109

出　　处：《首都食品与医药》2022年第21期36-38,共3页Capital Food Medicine

摘　　要：目的 分析急诊科脑血管疾病误诊的相关因素.方法 回顾性分析2020年3月-2022年5月深圳市龙华区人民医院急诊就诊的脑血管疾病患者40例研究对象的临床资料.总结急诊科脑血管疾病者误诊可疑因素,如影像学检查条件不足、首诊为神经内/外科医师、首诊为基层医院、既往合并心脑血管疾病以及意识障碍等进行单因素与多因素Logistic回归分析.结果 影像学检查条件不足、首诊为神经内/外科医师、首诊为基层医院、既往合并心脑血管疾病和意识障碍为影响急诊科针对脑血管疾病患者误诊的相关危险因素.影像学检查条件不足、首诊非神经内/外科医师、首诊为基层医院、既往未合并心脑血管疾病以及发病后无意识障碍者为急诊科针对脑血管疾病者误诊的独立危险因素.结论 急诊科脑血管疾病患者,就诊时接受的影像学检查条件不足,且首诊医师为非神经内/外科医师,首诊在基层医院,且既往未合并心脑血管疾病,发病后无意识障碍者,其容易发生急诊科针对脑血管疾病的误诊.Objective To analyze the related factors of misdiagnosis of cerebrovascular diseases in emergency department.Methods The clinical data of 40 patients with cerebrovascular diseases treated in our hospital from March 2020 to May 2022 were retrospectively analyzed.To summarize the suspicious factors of misdiagnosis of cerebrovascular diseases in emergency department,such as insufficient imaging examination conditions,first diagnosis as a neurologist/surgeon,first diagnosis as a grassroots hospital.previous cardiovascular and cerebrovascular diseases and disturbance of consciousness,etc.,and to make univariate and multivariate Logistic regression analysis.Results Inadequate imaging examination conditions,first diagnosis as a neurologist/surgeon,first diagnosis as a grassroots hospital.previous cardiovascular and cerebrovascular diseases and disturbance of consciousness were the related risk factors that affected the misdiagnosis of ischemic stroke in emergency department.The independent risk factors for misdiagnosis of cerebrovascular diseases in emergency department are insufficient imaging examination conditions,first diagnosis of non-neurologist/surgeon,first diagnosis of primary hospital,no previous cardiovascular and cerebrovascular diseases and unconscious disorder after onset.Conclusion Patients with cerebrovascular diseases in emergency department have insufficient imaging examination conditions,and the first diagnosis doctor is a nonneurologist/surgeon,the first diagnosis is in a grassroots hospital.,and those who have no cardiovascular and cerebrovascular diseases in the past and have unconscious disorder afier the onset are prone to misdiagnosis of cerebrovascular diseases in emergency department.

关 键 词：急诊科 脑血管疾病 疾病误诊 缺血性脑卒中 出血性脑卒中 

分 类 号：R743[医药卫生—神经病学与精神病学]