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我院1978～1988年收治经病理或细胞学检查确诊的肺癌145例,入院时误诊者82例,其中因特殊表现而误诊者38例,占总例数的26.2％。现举例分析如下。一、以神经精神症状为突出表现者8例:误诊为精神分裂症2例,痴呆症1例,脑血管疾病3例,风湿性神经炎2例。例1,男,65岁。因重复性言语和动作2月入院。曾在某精神病院治疗无好转。否认高血压病史。来我院当日神志不清,尿失禁。血压21.3/10.6kPa。疑脑血管意外作腰穿刺测脑压1.4kPa,
From 1978 to 1988, 145 cases of lung cancer diagnosed by pathology or cytology were admitted to our hospital. Of the 82 cases misdiagnosed on admission, 38 cases were misdiagnosed because of special performance, accounting for 26.2% of the total cases. An example analysis is as follows. First, 8 cases were characterized by neuropsychiatric symptoms: misdiagnosed as 2 cases of schizophrenia, 1 case of dementia, 3 cases of cerebrovascular disease, and 2 cases of rheumatic neuritis. Example 1, male, 65 years old. Repeated speech and action were admitted to hospital in February. There was no improvement in treatment in a mental hospital. Denies history of hypertension. It was unclear when I came to our hospital. I was incontinent. Blood pressure 21.3/10.6kPa. Suspected cerebrovascular accident for lumbar puncture measurement of brain pressure 1.4kPa,