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目的分析慢性阻塞性肺疾病并发自发性气胸的临床特点及误诊原因,减少误诊率。方法对解放军324医院2001-03-2010-09诊治87例慢性阻塞性肺疾病并发自发性气胸患者的临床资料进行回顾性分析。结果 87例慢性阻塞性肺疾病并发自发性气胸中有21例误诊,误诊率24.13%,其中非专科医生误诊率39.19%,专科医生误诊率18.75%。一线医生误诊率24.13%,上级医生误诊率9.19%。结论慢性阻塞性肺疾病并发自发性气胸临床表现不典型,误诊高,提高慢性阻塞性肺疾病并发自发性气胸临床表现特点认识、重视体检、注意影像学检查等是减少慢性阻塞性肺疾病并发自发性气胸误诊的有效措施。
Objective To analyze the clinical characteristics and causes of misdiagnosis of chronic obstructive pulmonary disease complicated with spontaneous pneumothorax and to reduce the misdiagnosis rate. Methods The clinical data of 87 patients with chronic obstructive pulmonary disease complicated with spontaneous pneumothorax admitted to the 324 Hospital of PLA from March 2001 to October 2010 were analyzed retrospectively. Results Totally 21 cases of chronic obstructive pulmonary disease complicated with spontaneous pneumothorax were misdiagnosed with a misdiagnosis rate of 24.13%. The misdiagnosis rate of non-specialists was 39.19% and that of specialists was 18.75%. First-line doctors misdiagnosis rate of 24.13%, higher-level doctor misdiagnosis rate of 9.19%. Conclusion The clinical manifestations of chronic obstructive pulmonary disease complicated with spontaneous pneumothorax are not typical, high misdiagnosis, improve the clinical manifestations of chronic obstructive pulmonary disease complicated with spontaneous pneumothorax awareness, emphasis on physical examination, pay attention to imaging studies is to reduce the incidence of chronic obstructive pulmonary disease Effective measures of misdiagnosis of pneumothorax.