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目的:分析基层医院严重多发伤漏诊原因,探索预防措施。方法:对2004-01/2005-12我院收治的217例严重多发伤病例进行回顾性分析。结果:漏诊27例(12.44%,27/217)。因疾病造成的客观原因12例(44.44%,12/27),因临床医生主观原因15例(55.56%,15/27)。结论:基层医院应加强急诊外科力量,注重提高临床医师对严重多发伤诊治能力,实施重点、全面和重复评估相结合,借助经验法减少漏诊发生率。
Objective: To analyze the causes of misdiagnosis of serious multiple trauma in primary hospitals and to explore preventive measures. Methods: A retrospective analysis was performed on 217 cases of severe multiple trauma admitted in our hospital from January 2004 to December 2005. Results: 27 missed cases (12.44%, 27/217). Objective reasons caused by the disease in 12 cases (44.44%, 12/27), because of subjective reasons, 15 cases (55.56%, 15/27). Conclusion: The primary hospital should strengthen emergency surgical force, pay more attention to improving clinicians’ ability to diagnose and treat severe multiple traumas, implement key, comprehensive and repeated evaluation, and reduce the incidence of missed diagnosis with experience.