摘要
目的:通过对17例被误诊急性主动脉夹层的分析,找出误诊的原因。方法:对17 例主动脉夹层的误诊病名及其例数、误诊天数、误诊医院的级别进行分析。结果:误诊为心绞痛5 例,急性心肌梗死2例,其他昏厥待诊2例,纵隔肿瘤2例,急性胰腺炎2例,脑血管病2例,胆囊炎、胆结石1例,泌尿系统结石1例,误诊医院从县级到省级医院均有。结论:误诊原因主要为①认识不足,②思路狭窄,③本症临床表现特异性差。提高对本病的认识水平,加强诊断学基本功训练是减少误诊的关键。
Objective: To find out the causes for misdiagnosis of aortic dissection. Methods: Retrospective analysis was made in 17 patients who suffered from aortic dissection. The diseases suspected,case number,duration for misdiagnosis and the grade of hospitals were noted. Results: For the 17 patients who suffered from aortic dissection, five were misdiagnosed as angina pectoris,two as acute myocardial infarction, two as syncope of unknow cause, two as tumor of mediastinum, two as acute pancreatitis, two as cerebrovascular accident, one as cholelithiasis, one as urolithiasis. Misdiagnoses were made by county hospitals mainly.Conclusions: The predominant causes for misdiagnoses were: ①insufficient understanding about the disease.②limited thinking of the diagnosis.③clincal manifesfations of the disease are not specific.④promote the understanding of the disease and enhance the fundamental dingnostic technique are of key importance to reduce misdiagnsis
出处
《内科急危重症杂志》
2005年第1期32-33,42,共3页
Journal of Critical Care In Internal Medicine
关键词
主动脉夹层
误诊原因
分析
Aortic dissection Misdiagnsis,cause Analysis
