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目的 :提高综合性医院临床医师对肺动脉栓塞 (PE)的认识及诊断水平。方法 :对 42例PE患者的基础疾病、临床表现、辅助检查、误诊病种、误诊时间、疗效及转归等有关临床资料进行回顾性分析。结果 :PE临床表现差异性大 ,误诊率高 ,本组误诊率达 78.6 %。误诊时间长 ,2周内确诊率仅为 45 .2 %。结论 :综合性医院临床医师应提高对PE的诊断意识 ,重视高危因素 ,仔细询问症状 ,充分利用相关检查 ,提高PE的诊断率。
Objective: To improve general hospital clinicians understanding and diagnosis of pulmonary embolism (PE). Methods: The clinical data, clinical manifestations, auxiliary examinations, misdiagnosis types, misdiagnosis time, curative effect and prognosis of 42 PE patients were analyzed retrospectively. Results: The difference of PE clinical manifestations, misdiagnosis rate, the misdiagnosis rate of 78.6%. Misdiagnosis for a long time, 2 weeks, the diagnosis rate was only 45.2%. Conclusion: The general hospital clinician should raise awareness of PE, pay attention to the risk factors, carefully ask the symptoms, make full use of relevant tests to improve the diagnostic rate of PE.