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目的提高对肺血栓栓塞症的临床症状和体征的认识,减少误诊率。方法回顾分析2005年-2010年收治的6例被误诊为其他疾病的肺血栓栓塞症患者的临床资料。结果 6例病例中误诊为冠心病心肌缺血1例、急性前壁心肌梗死2例、脑梗死伴癫痫1例、肺心病合并冠心病1例、肺心病1例。结论肺血栓栓塞症的临床症状和体征为非特异性,缺乏特异的实验室检查,64排多层螺旋CT肺动脉成像检查可作为确诊肺栓塞的首选方法。
Objective To improve the clinical symptoms and signs of pulmonary thromboembolism awareness and reduce the misdiagnosis rate. Methods The clinical data of 6 patients with pulmonary thromboembolism misdiagnosed as other diseases from 2005 to 2010 were retrospectively analyzed. Results Six cases were misdiagnosed as myocardial ischemia in 1 case, acute anterior myocardial infarction in 2 cases, cerebral infarction with epilepsy in 1 case, cor pulmonale complicated with coronary heart disease in 1 case and cor pulmonale in 1 case. Conclusion The clinical symptoms and signs of pulmonary thromboembolism are nonspecific and lack of specific laboratory tests. The 64-slice multislice CT pulmonary angiography can be the first choice for the diagnosis of pulmonary embolism.