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目的了解吉林省各职业卫生机构尘肺病诊断医师掌握诊断标准情况及读片能力。方法对全省各地区40名尘肺病诊断医师进行读片考核并对结果进行分析。结果参加考核医师共800人次,读片结果诊断期别符合率平均(71.5±10.0)%,各项读片指标总符合率平均(70.0±8.8)%。228例次错诊中,以诊断期别偏高/偏低为直接原因(86.8%),主要是小阴影密集度判定错误(36.8%)和小阴影形态判定错误(23.7%);诊断期别及各项读片指标符合率以高级职称者和省级机构人员较高。结论尘肺病诊断医师对小阴影密集度、形态的判定误差是导致错诊的主要原因,在今后培训中应开展更具针对性的强化训练。
Objective To understand the diagnosis of pneumoconiosis physicians in occupational health institutions in Jilin Province to grasp the diagnostic criteria and read the film. Methods 40 pneumoconiosis diagnosis physicians in all regions of the province were examined by reading pictures and the results were analyzed. Results A total of 800 physicians participated in the examination. The coincidence rate of the reading results was 71.5 ± 10.0% at the diagnostic phase and the average coincidence rate was 70.0 ± 8.8%. Among the 228 misdiagnosis cases, the diagnosis of high / low incidence was the direct cause (86.8%), mainly due to the low shadow density judgment error (36.8%) and the small shadow shape error (23.7%). The diagnosis period And the reading target coincidence rate with high-level titles and provincial agencies staff higher. Conclusions Pneumoconiosis diagnostic physicians are the main reason for misdiagnosis of small shadow density and shape error. In the future training, more intensive training should be carried out.