摘要
目的分析肺栓塞(pulmonary embolism,PE)诊断中存在的问题,提高PE的诊断效率。方法回顾性分析140例PE患者的诊断过程,统计PE患者从症状发生到明确诊断的时间。结果140例PE患者平均诊断时间25.8±35.5d,24h内确诊只有19例(13.6%)。128例院外PE患者平均诊断时间28.0±36.4d,24h内确诊10例,有32例(25%)被误诊。院内PE12例,平均诊断时间2.5±3d,其中9例24h内确诊。院外与院内PE在平均诊断时间、24h内确诊率方面存在明显差异。结论院外PE患者的诊断时间长,诊断效率低,应加强基层医院医生对PE的敏感性,提高PE的诊断效率。
Objective TO evaluate the diagnostic efficacy on pulmonary embolism. Methods A retrospective study about 140 patients were investigated by the onset with disease to the diagnosis. Results The diagnositic time is 25.8±35.5 days in 140 patients and only 19 patients （13.6%）was diagnosed within 24 hours. 128 outpatients was diagnosed in 28.0±36.4 days,only 10 patients（7.8%） was diagnosed within 24 hours. And 32 patients（25%） was mis-diagnosed. 12 inpatients was diagnosed in 2.5±3days, and9 patients（75%） was diagnosed within 24 hours. There is a significant difference between outpatients and inpatients. Conclusions A longer time and a lower efficacy on diagnosing pulmonary embolism in outpatients was found, and we should reinforce education to primary hospital doctors to improve diagnostic efficacy on pulmonary embolism.
出处
《解放军保健医学杂志》
2007年第1期26-28,共3页
Journal Of Health Care And Medicine in Chinese Pla
关键词
肺栓塞
诊断
pulmonary embolism
diagnosis
