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随着医学科学的发展和诊疗手段的改进,肺癌的早期诊断率不断提高。尽管如此,肺癌的误诊机率仍然很高,其原因不全是患者就诊过晚,而是基层医务人员的误诊,致使很多患者不能早期诊断,失去手术机会。本文对72例肺癌误诊病例进行分析,目的在于引起基层接诊医生的重视,减少肺癌的误诊与漏诊。 临床资料 本组病例中男性53例,女性19例。Ⅱ期肺癌6例,Ⅲ期10例,Ⅳ期56例。首发症状有刺激性干咳者32例,血痰者37例,胸痛者21例,多饮多尿1例,声音嘶哑6例,肺外关节症状者5例。确诊的
With the development of medical science and the improvement of diagnosis and treatment methods, the early diagnosis rate of lung cancer continues to increase. Despite this, the misdiagnosis rate of lung cancer is still very high. The reason for this is that patients are not treated too late. Instead, they are misdiagnosed by the grassroots medical staff. As a result, many patients cannot be diagnosed early and lose their surgical opportunities. This article analyzes 72 cases of misdiagnosis of lung cancer, the purpose is to attract the attention of the doctors at the primary level to reduce the misdiagnosis and missed diagnosis of lung cancer. Clinical data In this group of patients, 53 were males and 19 were females. There were 6 cases of stage II lung cancer, 10 cases of stage III, and 56 cases of stage IV. The first symptoms included irritating dry cough in 32 cases, blood stasis in 37 cases, chest pain in 21 cases, polydipsia in 1 case, hoarseness in 6 cases, and extrapulmonary joint symptoms in 5 cases. Diagnosed