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目的探讨老年人内科急诊误诊产生的原因,对产生因素进行分析,探究如何避免误诊。方法 678例内科疾病老年患者,其中87例误诊患者作为研究对象,对其产生误诊的因素进行分析。结果 87例误诊患者中出现24例急性心肌梗死,12例急性胰腺炎,14例急性左心衰竭,11例冠状动脉萎缩,15例甲状腺功能亢进性心脏病,11例胆心综合征。结论导致内科急诊误诊的因素有很多,其中主要原因有医护工作人员经验不足和患者自身因素。在工作中,所有的医护人员应该提升自身水平,对患者的病史和身体症状进行严格的检查,提高防范意识,减少误诊率。
Objective To explore the causes of misdiagnosis of medical emergencies in the elderly and to analyze the factors that cause the misdiagnosis. Methods A total of 678 elderly patients with medical diseases, of whom 87 were misdiagnosed as the study subjects, were analyzed for their misdiagnosis factors. Results There were 24 cases of AMI, 87 cases of acute pancreatitis, 14 cases of acute left heart failure, 11 cases of coronary artery atrophy, 15 cases of hyperthyroid heart disease and 11 cases of gallbladder syndrome in 87 cases of misdiagnosis. Conclusion There are many factors leading to misdiagnosis of medical emergency, mainly due to lack of experience of medical staff and patients themselves. At work, all medical staff should improve their level of strict examination of the patient’s medical history and physical symptoms, improve awareness and reduce the rate of misdiagnosis.