CAJ | 학술논문

目的：探讨活动性肺结核误诊的临床原因。方法选取我中心误诊为活动性肺结核的患者4例作为研究对象，对其临床资料进行回顾性分析。结果患者就诊原因多为咳嗽咳痰、痰带血、咯血、低热、恶心呕吐且食欲下降、疲乏无力、气短、胸痛、肝功能异常或者黄疸、贫血加重、淋巴结增大以及行影像学检查未出现改变或者出现恶化现象。误诊原因主要是基层医务工作者综合素质较低所致。结论为降低误诊率，需增强疾控中心与基层医务人员的专业技术水平和道德素质，以提升诊断水平。
목적：탐토활동성폐결핵오진적림상원인。방법선취아중심오진위활동성폐결핵적환자4례작위연구대상，대기림상자료진행회고성분석。결과환자취진원인다위해수해담、담대혈、각혈、저열、악심구토차식욕하강、피핍무력、기단、흉통、간공능이상혹자황달、빈혈가중、림파결증대이급행영상학검사미출현개변혹자출현악화현상。오진원인주요시기층의무공작자종합소질교저소치。결론위강저오진솔，수증강질공중심여기층의무인원적전업기술수평화도덕소질，이제승진단수평。
Objective Clinical discussion on the causes of misdiagnosis of pulmonary tuberculosis.Methods Select I center misdiagnosed as pulmonary tuberculosis in 4 patients as the research object,and the clinical data were retrospectively analyzed.Results The reason of visiting patients for cough,bloody sputum,hemoptysis,fever, nausea, vomiting and loss of appetite,fatigue,shortness of breath,chest pain,abnormal liver function or jaundice, anemia aggravates,lymph node enlargement and imaging examinations were not change or deterioration phenolmenon.The main causes of misdiagnosis are the grassroots medical workers due to lower the overal quality.Conclusion In order to reduce the misdiagnosis rate,to enhance the CDC and the grass-roots medical staff of professional and technical level and moral quality,to improve the level of diagnosis.