肺癌以神经系统症状就诊者,由于呼吸系统症状缺如或不明显,以致误诊、误治。为了提高对肺癌的诊断、认识,现将我院收治的6例肺癌误诊病例分析如下。 1.临床资料 一般资料:本组病例男5例,女1例,年龄45～60岁,病史4月～1年余,误诊时间最大半年,最短1周。误诊疾病:脑动脉硬化1例,脑梗塞1例,病毒性脑炎1例,颅内肿瘤1例,坐骨神经痛2例。 主要临床表现:失眠、健忘、精神不佳等5例,手足麻木2例,头痛2例,下肢疼痛2例,咳嗽、咯黄白色痰2例,双下肢乏力1例,突发偏瘫、失语1例,精神异常1例,全部病例都无刺激性咳嗽,血痰及发热。 结果:手术及病理报告2例,胸片加CT3例,单胸片1例。按部位右肺癌5例,左肺癌1例;中央型5例,周围型1例,6例中,3例并发脑转移。 Patients with lung cancer who have symptoms of nervous system may be misdiagnosed or mistreated because respiratory symptoms are absent or not obvious. In order to improve the diagnosis and understanding of lung cancer, 6 cases of misdiagnosis of lung cancer admitted to our hospital are analyzed as follows. 1. Clinical data General information: This group of patients was 5 males and 1 female, aged 45 to 60 years. The history was from April to more than 1 year. The misdiagnosis time was up to six months and the minimum was one week. Misdiagnosis diseases: 1 case of cerebral arteriosclerosis, 1 case of cerebral infarction, 1 case of viral encephalitis, 1 case of intracranial tumor, and 2 cases of sciatica. Main clinical manifestations: 5 cases of insomnia, forgetfulness, and mental insufficiency, 2 cases of numbness in hands and feet, 2 cases of headache, 2 cases of lower extremity pain, 2 cases of cough, yellow and white sputum, 1 case of both lower limb weakness, sudden paraplegia, and aphasia1 In one case, there was one psychiatric abnormality, and all cases had no irritating cough, blood stasis, and fever. RESULTS: There were 2 cases of surgical and pathological reports, 3 cases of chest radiograph plus CT, and 1 case of single chest radiograph. According to the site, there were 5 cases of right lung cancer, 1 case of left lung cancer, 5 cases of central type, 1 case of peripheral type, 6 cases, and 3 cases of brain metastases.