论文部分内容阅读
总结90例确诊为肺癌的老年患者临床资料,分析误诊原因。肺外转移的首发表现24例,其中误诊为脑瘤13例,脑血栓形成2例;骨转移中误诊为腰椎间盘脱出4例,颈椎病1例,嗜酸性肉芽肿1例。心包转移误诊为结核性心包炎3例。误诊慢性支气管炎并发支气管肺炎10例,肺炎19例、肺脓肿3例。肺结核19例,结核性胸膜炎6例。肺癌肺外表现为首发症状中,皮肌炎2例,肥大性关节炎1例。声音嘶哑2例均误诊。无症状胸片检查发现4例。本文对其误诊原因进行了探讨,并提出及时诊断的意见
To summarize the clinical data of 90 elderly patients diagnosed with lung cancer and analyze the causes of misdiagnosis. The first manifestation of extrapulmonary metastasis was 24 cases, among which 13 cases were misdiagnosed as brain tumors and 2 cases were cerebral thrombosis. In bone metastasis, 4 cases were diagnosed as prolapse of lumbar intervertebral disc, 1 case of cervical spondylosis, and 1 case of eosinophilic granuloma. The pericardial metastasis was misdiagnosed as tuberculous pericarditis in 3 cases. Misdiagnosis of chronic bronchitis complicated by bronchopneumonia in 10 cases, 19 cases of pneumonia and 3 cases of lung abscess. Tuberculosis in 19 cases, tuberculous pleurisy in 6 cases. Extrapulmonary manifestations of lung cancer were first symptoms, dermatomyositis in 2 cases, and hypertrophic arthritis in 1 case. Two cases of hoarseness were misdiagnosed. Asymptomatic chest X-ray examination revealed 4 cases. This article discusses the causes of misdiagnosis and suggests timely diagnosis.