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股骨颈骨折的漏诊原因及预防措施

Reason and Solution for Missed Diagnosis of Femoral Neck Fracture
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摘要 目的探讨股骨颈骨折的漏诊原因及预防措施。方法我院2006~2009年共接诊232例股骨颈骨折患者,其中12例首诊X线表现不明显,复查时行CT明确骨折。结果12例股骨颈骨折首诊漏诊,门诊复查时发现骨折。结论提醒临床医师警惕股骨颈骨折的隐蔽性,对可疑病例行CT检查明确诊断或一周复查X片,减少漏诊。 Objective To investigate the reasons for missed diagnosis of femoral neck fracture and preventive measures. Method in our hospital from 2006 to 2009 a total of 232 cases of reception of patients with femoral neck fractures, of which the first 12 cases of patient X-ray findings was not obvious, when reviewing a clear fracture line CT. Results of femoral neck fracture in 12 cases of missed diagnosis of the first patient, out-patient fracture review found. Conclusion alert to remind clinicians of the hidden nature of femoral neck fracture on the CT examination of suspicious cases of finns a week to review a clear diagnosis or X films, to reduce misdiagnosis.
出处 《医学信息》 2009年第11期2393-2394,共2页 Journal of Medical Information
关键词 股骨颈骨折 漏诊 原因 预防措施 femoral neck fracture missed diagnosis the reasons preventive measures
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参考文献3

  • 1吴在德,吴肇汉主编.外科学[M].第6版.北京:人民卫生出版社,2005:577.
  • 2Rizzo PF,Gould ES,Lyden JP,et al. Diagnosis of occult fractures about the hip:magnetic resonance imaging compared with bone-scanning.J Bone Joint Surg(Am), 1993,75:395-401.
  • 3Matheson GO,Clement DB,Mckenzie DC,et al.Stress fractures in ath- letes:a study of 320 cases. Am J Sports Med, 1987,15:45-58.

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