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近年来肺癌的发病率和死亡率均有明显升高,提高医务人员对早期肺癌临床表现的认识,以减少误诊与漏诊。本文总结了我院资料完整的148份肺癌病例、其中误诊49例,占同期肺癌总数的33.77%。分析报道如下:临床和病理资料性别:男性35例,女性14例,男女之比为2.5:1,49例患者的年龄在28～71岁,平均年龄44.4岁。49例分别误诊为神经肌肉病变的9例(18.37%),肺结核16例(32.65%),肺炎12例(24.49%),慢性支气管炎3例(6.12%),上消化道肿瘤3例(6.12%),肩周炎3例(6.12%),上腔静脉综合征2例(4.08%),糖尿病1例(2.04%)。
In recent years, the incidence and mortality of lung cancer have increased significantly, and the understanding of clinical manifestations of early-stage lung cancer among medical personnel has been improved to reduce misdiagnosis and missed diagnosis. This article summarized 148 lung cancer cases with complete data in our hospital, 49 cases misdiagnosed, accounting for 33.77% of total lung cancer in the same period. The analysis was reported as follows: Clinical and pathological data Gender: 35 males and 14 females, male to female ratio was 2.5:1, 49 patients aged 28 to 71 years, mean age 44.4 years. 49 cases were misdiagnosed as neuromuscular lesions in 9 cases (18.37%), pulmonary tuberculosis in 16 cases (32.65%), pneumonia in 12 cases (24.49%), chronic bronchitis in 3 cases (6.12%), upper gastrointestinal cancer in 3 cases (6.12) %), Periarthritis in 3 cases (6.12%), Superior vena cava syndrome in 2 cases (4.08%), Diabetes in 1 case (2.04%).