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目的探讨急诊误诊原因,降低急诊误诊、漏诊及误治。方法回顾性分析我院2007年1月至2012年7月急诊诊治的111例患者的临床资料。结果急诊患者临床表现复杂,病情危重,确诊困难,本组误诊的111例经过完善相关检查后急诊科确诊87例,各住院病房确诊23例。结论急诊患者因其特殊性,易出现误诊,提高急诊临床医师综合素质及完善基础检查实施是降低急诊误诊的关键。
Objective To investigate the causes of misdiagnosis in emergency department and to reduce the misdiagnosis, missed diagnosis and misdiagnosis of emergency department. Methods A retrospective analysis of our hospital from January 2007 to July 2012 emergency treatment of 111 patients with clinical data. Results The clinical manifestations of emergency patients were complicated, the patients were in critical condition and the diagnosis was difficult. The 111 cases diagnosed as misdiagnosis in this group were diagnosed in 87 cases in the emergency department and in 23 cases in each hospital ward. Conclusions Emergency patients are prone to misdiagnosis due to their particularities. Improving the overall quality of emergency clinicians and perfecting the basic examination and implementation are the keys to reduce misdiagnosis in emergency department.