| 摘要: |
| ［摘要］ 目的 调查我国肺动脉栓塞（PE）误诊疾病的分布特点，以减少PE的误诊、漏诊。方法 通过中国期刊网中国医院知识仓库（CNKI-CHKD）检索2001～2004年发表与PE误诊有关的病例研究报告，对被误诊患者一般情况、误诊疾病等进行了回顾性调查研究。结果 （1）经检索后共筛选出误诊文献110篇，累计报告PE误诊患者1 540例，涉及临床、医技多个科室。（2）误诊疾病中：呼吸系统疾病23种（31.5%），心血管疾病16种（21.9%），神经系统疾病6种（8.2%），外科系统疾病5种（6.8%）， 其他系统疾病23种（31.5%）。（3）被误诊疾病多达70余种，冠心病与肺炎仍占据误诊疾病数量的前两位。结论 （1）PE临床误诊疾病的分布涉及多个系统，以呼吸系统疾病的种类占首位，其次是心血管疾病。（2）应重视肺栓塞与呼吸系统疾病和心血管疾病间的鉴别，提高交叉学科疾病诊断能力。 |
| 关键词: 肺栓塞 误诊 疾病分布 |
| DOI：10.3969/j.issn.1674-3806.2009.06.46 |
| 分类号:R 563.5 |
| 基金项目: |
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| A survey on the statistic distribution of pulmonary embolism misdiagnosed diseases in China |
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JIA Wei-bin, LI Shu-fang
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Department of Cardiology, Linqing People′s Hospital, Linqing Shandong 252600, China
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| Abstract: |
| ［Abstract］ Objective To study the statistic distribution characteristics of pulmonary embolism(PE) misdiagnosed diseases in China so as to reduce the misdiagnosis and missed diagnosis of PE. Methods Documents on PE misdiagnosis published in Chinese-language journals between 2001 and 2004 were identified by the China Hospital Knowledge Databases in China National Knowledge Infrasturucture Web (CNKI-CHKD). Retrospetive survey study of general conditions, misdiagnosed diseases etc was made in patients with PE. Results (1)A total of 110 documents with 1540 misdiagnosed PE patients were found. The patients related to the clinical, medical technology and others departments.(2)Among PE misdiagnosed diseases: there were 23 kinds of respiratory diseases (31.5%), 16 kinds of cardiovascular disease (21.9%), 6 kinds of nervous system diseases (8.2%), 5 kinds of surgical disease (6.8%), and 23 kinds of other systems disease (31.5%).(3)PE was misdiagnosed to more than 70 kinds of diseases and the first two places were coronary heart disease and pneumonia. Conclusion (1)Respiratory and cardiovascular system diseases occupied the first two places in the statistic distribution of PE clinical misdiagnosed diseases.(2)It is necesary to improve the diagnosis ability to differentiate between PE and respiratory diseases and cardiovascular diseases by enhancing the cross-disciplinary diagnosis capability. |
| Key words: Pulmonary embolism Diagnostic errors Disease distribution |
