中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
32期
177-177,179
,共2页
误诊%特发性肺间质纤维化%误诊原因%相应对策
誤診%特髮性肺間質纖維化%誤診原因%相應對策
오진%특발성폐간질섬유화%오진원인%상응대책
Misdiagnosis%Idiopathic pulmonary fibrosis%Misdiagnosis reason%Corresponding countermeasure
目的：探究分析特发性肺间质纤维化患者发生误诊的原因，并提出相关的解决方法。方法：2007年1月-2013年12月收治特发性肺间质纤维化患者36例，均发生误诊，回顾性分析其临床资料，总结分析其发生误诊的原因。结果：本组36例患者中，23例被误诊为慢性支气管炎，10例被误诊为支气管肺炎，3例被误诊为咳嗽变异型哮喘；本组患者的误诊时间2个月～2年，平均(1.1±0.2)年；严格遵守特发性肺间质纤维化诊断标准，同时给予患者肺组织穿刺活检，本组患者均确诊为特发性肺间质纤维化。结论：特发性肺间质纤维化误诊的主要原因是对本病的认识程度不够，在检查时不够仔细，忽略了细节。因此，对于此类患者应进行肺组织活检，同时注重检查结果，认真分析各种现象，能够提高特发性肺间质纤维化的诊断准确率。
目的：探究分析特髮性肺間質纖維化患者髮生誤診的原因，併提齣相關的解決方法。方法：2007年1月-2013年12月收治特髮性肺間質纖維化患者36例，均髮生誤診，迴顧性分析其臨床資料，總結分析其髮生誤診的原因。結果：本組36例患者中，23例被誤診為慢性支氣管炎，10例被誤診為支氣管肺炎，3例被誤診為咳嗽變異型哮喘；本組患者的誤診時間2箇月～2年，平均(1.1±0.2)年；嚴格遵守特髮性肺間質纖維化診斷標準，同時給予患者肺組織穿刺活檢，本組患者均確診為特髮性肺間質纖維化。結論：特髮性肺間質纖維化誤診的主要原因是對本病的認識程度不夠，在檢查時不夠仔細，忽略瞭細節。因此，對于此類患者應進行肺組織活檢，同時註重檢查結果，認真分析各種現象，能夠提高特髮性肺間質纖維化的診斷準確率。
목적：탐구분석특발성폐간질섬유화환자발생오진적원인，병제출상관적해결방법。방법：2007년1월-2013년12월수치특발성폐간질섬유화환자36례，균발생오진，회고성분석기림상자료，총결분석기발생오진적원인。결과：본조36례환자중，23례피오진위만성지기관염，10례피오진위지기관폐염，3례피오진위해수변이형효천；본조환자적오진시간2개월～2년，평균(1.1±0.2)년；엄격준수특발성폐간질섬유화진단표준，동시급여환자폐조직천자활검，본조환자균학진위특발성폐간질섬유화。결론：특발성폐간질섬유화오진적주요원인시대본병적인식정도불구，재검사시불구자세，홀략료세절。인차，대우차류환자응진행폐조직활검，동시주중검사결과，인진분석각충현상，능구제고특발성폐간질섬유화적진단준학솔。
Objective:To explore and analyze the misdiagnosis reasons of patients with idiopathic pulmonary fibrosis,to put forward some relevant solutions.Methods:36 patients with idiopathic pulmonary fibrosis were selected from January 2007 to December 2013.They all occurred misdiagnosis.The clinical data were retrospectively analyzed.The misdiagnosis reasons were summarized and analyzed.Results:In 36 cases,23 cases were misdiagnosed as chronic bronchitis;10 cases were misdiagnosed as bronchopneumonia;3 cases were misdiagnosed as cough variant asthma.The misdiagnosis time of patients was 2 months to 2 years, and the averaged was (1.1±0.2) years.We strictly complied with idiopathic pulmonary fibrosis diagnosis standard,while given lung tissue biopsy of patients,the patients in this groups were diagnosed as idiopathic pulmonary fibrosis.Conclusion:The main reasons of misdiagnosis of idiopathic pulmonary fibrosis include not enough awareness of the disease,uncareful inspection and ignored details.Therefore,such patients should be given lung biopsy, while be focused on the test results,a careful analysis of various phenomena can improve the diagnosis accurate rate of idiopathic pulmonary fibrosis.
