摘要
通过对１１６例曾误诊的原发性肺癌患者的分析，认为对肺癌症状的认识不足；当癌肿与结核、炎症等并存时，仅满足于肺部良性疾患的诊断；以及肺癌ｘ线表现不典型是引起误诊的主要原因。为了减少误诊，必须提高临床医师对肺癌的警惕性；重视肺癌的呼吸道症状的特征，充分认识其肺外症状；注意其他疾患共存的可能；并了解其间接ｘ线征象。关键在于及时应用痰细胞学检查、支纤镜检查及经皮肺穿刺检查等有效手段明确诊断。
After analyzing 116 misdiagnosed cases of primary pulmonary carcinoma,it is assumed that the main causes of the misdiagnosis were due to the inadquate understanding of the syptoms of pulmonary carinoma,due to the failure to further investigate such malignant cases with concurring pulmonary benign diseases(such as tuberculosis) and inflammation,and due to the atypical findings of pulmonary carcinoma. To reduce the misdiagnosis,the clinician should be alert to the likely occurrence of pulmonary carcinoma, more attentive to the characteristics of the symptoms of pulmonary carcinoma, more attentive to the characteristics of the symptoms of pulmonary carcinoma of the possible concurrence of other diseases and the indirect X-ray appearance of pulmonary carcinoma. It is essential that effective means such as exfoliative cell examination of sputa, bronchial fibroscopy and percutaneous pneumocentesis be used for diagnosis.
出处
《汕头大学医学院学报》
1995年第1期45-47,共3页
Journal of Shantou University Medical College
关键词
肺癌
误诊
预防对策
Pulmonary carcinoma
Misdiagnosis
Prevention countermeasure
