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目的通过调查和分析女性肺癌的延误诊断,以减少误诊。方法采用回顾性方法,对2009年5月至2012年5月我院收治的女性肺癌患者中延误诊断在3个月以上的临床资料进行分析。结果 164例依次误诊为肺炎、结核、慢性支气管炎、骨关节炎和肌痛等,54例肺部阴影者延迟诊断。延误诊断时间在3-5月者89例,6-8月者45例,9-11月者26例,其余58例为12个月及以上。患者的常见症状是咳嗽、咳痰、胸痛和胸闷气短。结论加强肺癌的鉴别诊断,对于肺炎、肺结核以及肺部阴影者需要间断定期复查胸片或肺部CT。
Objective To reduce the misdiagnosis by investigating and analyzing the delayed diagnosis of female lung cancer. Methods The retrospective method was used to analyze the clinical data of delayed-diagnosis women with lung cancer who were admitted to our hospital from May 2009 to May 2012 for more than 3 months. Results 164 cases were misdiagnosed as pneumonia, tuberculosis, chronic bronchitis, osteoarthritis and myalgia, 54 cases of delayed diagnosis of pulmonary shadows. Delay in the diagnosis of 89 patients from March to May, 45 cases of 6-8 months, 9-11 months in 26 cases, and the remaining 58 cases of 12 months and above. Common symptoms of patients are cough, sputum, chest pain and shortness of breath. Conclusion To strengthen the differential diagnosis of lung cancer, pneumothorax, pulmonary tuberculosis and lung shadow need intermittent regular review of chest radiography or lung CT.