文档介绍：442例咯血患者误诊原因回顾性分析
作者：支亚丽
<DL class=page_txt>【摘要】目的：分析442例咯血患者误诊的原因。方法：观察并记录 442例咯血患者的年龄、性别、X线及纤支镜检查结果、初步诊断和最后诊断，分别计算各 种疾病的误诊率，并分析误诊原因。结果：误诊率较高的前5位疾病分别为：肺曲菌病
(%),支气管内膜结核(75%),肺隐球菌病(%),肺栓塞(%),支气管结 核合并肺癌(%)。结论：咯血可由多系统多器官疾病引起，这些疾病往往缺乏特异性 的症状和体征，在诊断时必须仔细鉴别才能避免误诊。【关键词】咯血基础疾病误诊率 肺曲菌病 肺隐球菌病 Abstract Objective： To analyse the misdiagnostic reasons of 442 patients with hemoptysis. Methods： The ages, sexes, X-ray and fiberoptic bronchoscope findings, primary and final diagnosis of 442 cases were observed and recorded, then misdiagnostic rates of various kinds of diseases were calculated separately and the misdiagnostic reasons were analysed. Results： The top five diseases misdiagnosed were pulmonary aspergillosis(%), endobronchial tuberculosis (75%), pulmonary cryptococcosis (%), pulmonary embolism (%) and pulmonary tuberculosis with lung cancer (% ) . Conclusion： Hemoptysis can be induced by multiple system and multiple organ disorders, which lack specific symptoms and sighs. So these diseases must be distinguished carefully in clinic to decrease the rate of misdiagnosis. Key words hemoptysis ； underlying diseases ； misdiagnosis rate ； pulmonary aspergillosis ； pulmonary cryptococcosis咯血是一种疾病或几种疾病共同作用的结果，现代医疗技术对其病因诊断的 准确性已相当高，随之的治疗也是非常有针对性的。但是，由于各种原因，仍然有部分患者 的咯血原因不十分清楚，有些患者因长期误诊得不到止确的治疗。为此，我们将近年来收集 到的442例咯血病例做一分析，探讨误诊原因，以期咯血患者能得到及时有效的治疗。1资