摘要
目的分析鼻咽癌的临床特征和误诊原因,提高早期诊断率。方法回顾性分析2008年2月—2010年3月误诊的鼻咽癌患者12例,总结其临床特征并分析其误诊原因。结果本组患者的首发症状中鼻塞10例,血涕9例,听力减退、鼓室积液等耳部症状6例,头痛6例,面部麻木、感觉异常、饮水呛咳、面瘫等面神经损害4例,颈部淋巴结肿大2例,出现2种或2种以上症状者5例。主要误诊为中耳炎、鼻咽炎、淋巴结炎、三叉神经痛、血管神经性头痛、贝尔面瘫等。发病至确诊时间2～19个月,平均10.5个月。结论鼻咽癌的临床特征较复杂,医师应培养高度负责的态度,对可疑患者应仔细检查,提高初诊准确率,减少误诊率。
Objective To investigate the clinical presentation and misdiagnosis in 12 patients with nasopharyngeal carcinoma. Methods A retrospective study was done on 12 cases of nasopharyngeal carcinoma from February 2008 to March 2010. The clinical presentations were summarized and the causes of misdiagnosis were analyzed. Results The initial symptom of the nasopharyngeal carcinoma included nasal obstruction in 10 cases, epistaxis in 9 cases, ear symptoms in 6 cases, headache in 6 cases, the defects of facial nerve in 4 cases and enlarged cervical lymph nodes in 2 cases. Two or more than 2 mentioned symptoms in 5 cases. The main misdiagnosis was otitis media, pharyngitis, lymphadenitis, trigeminal neuralgia,angioneurotic headache, Bell palsy and so on. The time from disease onset to final diagnosis was 2 to 19 month with an average of 10.5 months. Conclusion The clinical presentation Of nasopharyngeal carcinoma is complex, so the doctor should maintain a high sense of responsibility, examine the suspicious patients carefully and reduce the misdiagnosis rate.
出处
《河北医科大学学报》
CAS
2011年第9期1039-1041,共3页
Journal of Hebei Medical University
关键词
鼻咽肿瘤
体征和症状
误诊
nasopharyngeal neoplasm
signs and symptoms
diagnostic errors
