摘要
肺血栓栓塞症(PTE)发病率和病死率较高,早期诊断和治疗是改善其预后的关键,但PTE临床表现多样化,缺乏特异性,导致漏诊、误诊情况严重。本文从患者、临床医师、医院三个层面对PTE延迟诊断的发生及原因做一梳理,重点阐述PTE与易混淆疾病(冠心病、肺炎、慢性阻塞性肺疾病)的鉴别思路,以期提高PTE早期诊断率。
Since the incidence and mortality of pulmonary thromboembolism (PTE) are quite high,early diagnosis and treatment become the key to improve the prognosis. However,the diversity and lack of specificity in its clinical manifestations lead to serious misdiagnosis and missed diagnosis. This article sums up and sorts out the occurrence and causes of delayed diagnosis of PTE based on 3 levels,patients,clinicians and hospitals,and focuses on the differential thinking between PTE and confusing diseases (coronary heart disease,pneumonia,chronic obstructive pulmonary disease) in order to improve the early diagnosis rate of PTE.
作者
孔颖颖
兰学立
陈济超
KONG Ying-Ying;LAN Xue-Li;CHEN Ji-Chao(Department of Respiratory Diseases,Aerospace Central Hospital,Beijing 100049,China)
出处
《中华老年多器官疾病杂志》
2019年第10期796-800,共5页
Chinese Journal of Multiple Organ Diseases in the Elderly
关键词
肺栓塞
延迟诊断
误诊
漏诊
pulmonary embolism
delayed diagnosis
misdiagnosis
missed diagnosis
