摘要
目的 了解我国肺动脉栓塞 (PE)误诊的现状 ,提高对PE的诊断意识。方法 通过中国生物医学文献数据库 (CBMdisc)检索 1980年 1月至 2 0 0 1年 6月发表的与PE误诊有关的病例研究报告 37篇 ,对被误诊的 310例PE患者的误诊疾病、临床表现、危险因素及辅助检查等进行了回顾性调查研究。结果 PE患者涉及内科、外科、妇产科、儿科等 ,被误诊疾病达 2 4种 ,前 5位依次是 :冠心病 6 3例次 (19 9% )、肺炎 4 4例次 (13 9% )、原发性肺动脉高压 33例次 (10 4 % )、心肌病 2 2例次(7 0 % )、胸膜炎 2 1例次 (6 6 % )。结论 PE是一个人们认识不足的疾病 ,应予以重视 ,加强鉴别诊断能力 ,减少误诊发生。
Objective To study the present situation of misdiagnosed pulmonary embolism(PE) in China and to improve the identification of PE Methods 37 documents of Chinese language cases studies involving the misdiagnosis of PE published from January 1980 to June 2001 were identified by searching the Chinese Biomedical Literature Database(CBMdisc) Retrospective survey study of misdiagnosed diseases,clinical manifestations,risk factors and accessory examinations etc was made in 310 patients with PE Results The patients related to the departments of internal medicine,surgery,obstetrics and gynecology,pediatrics and so on The misdiagnosed diseases were over 24 kinds The first five places successively were:coronary heart disease in 63 times(19 9%),pneumonia in 44 times(13 9%),primary pulmonary hypertension in 33 times(10 4%),cardiomyopathy in 22 times(7 0%)and pleurisy in 21 times(6 6%) Conclusion PE is an important and commonly encountered disease,which is not recognized well enough yet by Chinese doctors Early diagnosis and treatment without delay is critical to the prognosis,so clinicians should be familiar with PE′s characteristics to reduce its misdiagnosis
出处
《中华心血管病杂志》
CAS
CSCD
北大核心
2002年第7期406-409,共4页
Chinese Journal of Cardiology
