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目的对急性肺栓塞患者误诊原因进行分析,为此类疾病的临床诊断与治疗提供依据。方法选取本院于2011年6月~2013年6月出现的急性肺栓塞误诊患者29例,对其临床症状及辅助检查结果进行回顾性分析。结果 29例患者首次误诊为急性左心衰、冠心病10例,心肌梗死7例,右心衰3例,冠心病5例,结核性胸膜炎3例,急性支气管炎1例,误诊时间为7d~7个月。结论急性肺栓塞在临床中误诊率相对较高,医师应不断提升自身对这一疾病的认识,尽量展开早期诊断并尽早进行治疗,从而提高治疗效果。
Objective To analyze the causes of misdiagnosis in patients with acute pulmonary embolism and provide the basis for the clinical diagnosis and treatment of such diseases. Methods Twenty-nine patients with misdiagnosis of acute pulmonary embolism in our hospital from June 2011 to June 2013 were selected for retrospective analysis of clinical symptoms and laboratory examinations. Results 29 patients were first misdiagnosed as acute left heart failure, 10 cases of coronary heart disease, 7 cases of myocardial infarction, 3 cases of right heart failure, 5 cases of coronary heart disease, 3 cases of tuberculous pleurisy, 1 case of acute bronchitis, misdiagnosis time was 7d ~ 7 months. Conclusions Acute pulmonary embolism has a relatively high rate of misdiagnosis in clinical practice. Physicians should continuously improve their understanding of the disease, try their best to carry out early diagnosis and treatment as soon as possible, so as to improve the therapeutic effect.