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目的:探讨和分析自发性气胸的临床诊断情况,分析造成误诊的原因,避免和减少误诊的发生,提高临床治疗的效果和质量。方法:回顾性分析具有完整临床资料的2006年5月至2010年5月来我院就诊的100例自发性气胸患者。其中,误诊为支气管哮喘急性发作的患者有10例,分析和研究自发性气胸的误诊发生率及误诊原因,为改进和提高临床治疗效果和质量提供依据。结果:自发性气胸误诊为支气管哮喘急性发作的误诊率为10%。误诊的原因主要是(:1)患者的临床症状不典型;(2)合并存在其他疾病时容易造成诊断偏颇;(3)医务人员的警惕性和责任心较差。结论:自发性气胸的临床症状和表现多样,易造成误诊或漏诊,必要时应依据X线检查进行确诊。
Objective: To explore and analyze the clinical diagnosis of spontaneous pneumothorax, analyze the causes of misdiagnosis, avoid or reduce the occurrence of misdiagnosis, and improve the effect and quality of clinical treatment. Methods: A retrospective analysis of 100 patients with spontaneous pneumothorax who came to our hospital from May 2006 to May 2010 with complete clinical data was retrospectively analyzed. Among them, misdiagnosed as bronchial asthma in patients with acute attack in 10 cases, analysis and study of spontaneous pneumothorax misdiagnosis and misdiagnosis causes, to improve and improve the clinical treatment effect and quality provide the basis. Results: The misdiagnosis rate of spontaneous pneumothorax misdiagnosed as acute exacerbation of bronchial asthma was 10%. The main causes of misdiagnosis are: (1) the patient’s clinical symptoms are not typical; (2) there is a tendency to cause biased diagnosis when other diseases are combined; and (3) the medical staff’s vigilance and sense of responsibility are poor. Conclusion: The clinical symptoms and manifestations of spontaneous pneumothorax are diverse, which may lead to misdiagnosis or missed diagnosis. If necessary, the diagnosis should be based on X-ray examination.