中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2015年
34期
149-150
,共2页
吴昌跃%陈荣让%陈岩%杨智凯%阙永康
吳昌躍%陳榮讓%陳巖%楊智凱%闕永康
오창약%진영양%진암%양지개%궐영강
急诊内科%72 h返诊%误诊
急診內科%72 h返診%誤診
급진내과%72 h반진%오진
Emergency internal medicine%Re-examination within 72 hours%Misdiagnosis
目的：探讨急诊72 h内返诊患者的误诊比率及原因。方法：回顾性分析急诊出院后72 h内返诊的成人患者的临床资料。结果：共有444份有效样本，其中39例(8.7%)被判定为初始误诊，最常见的前两项初始诊断为急性胃肠炎(9例)和上呼吸道感染(6例)，最常见的两项最终诊断分别为胆道疾病(6例)和泌尿道感染(6例)；误诊原因为病史采集不全面、体格检查不全面、综合分析不足。结论：老年人、深夜就诊及48 h内返诊的急诊患者为易误诊的高危人群。
目的：探討急診72 h內返診患者的誤診比率及原因。方法：迴顧性分析急診齣院後72 h內返診的成人患者的臨床資料。結果：共有444份有效樣本，其中39例(8.7%)被判定為初始誤診，最常見的前兩項初始診斷為急性胃腸炎(9例)和上呼吸道感染(6例)，最常見的兩項最終診斷分彆為膽道疾病(6例)和泌尿道感染(6例)；誤診原因為病史採集不全麵、體格檢查不全麵、綜閤分析不足。結論：老年人、深夜就診及48 h內返診的急診患者為易誤診的高危人群。
목적：탐토급진72 h내반진환자적오진비솔급원인。방법：회고성분석급진출원후72 h내반진적성인환자적림상자료。결과：공유444빈유효양본，기중39례(8.7%)피판정위초시오진，최상견적전량항초시진단위급성위장염(9례)화상호흡도감염(6례)，최상견적량항최종진단분별위담도질병(6례)화비뇨도감염(6례)；오진원인위병사채집불전면、체격검사불전면、종합분석불족。결론：노년인、심야취진급48 h내반진적급진환자위역오진적고위인군。
Objective:To explore the rate and cause of misdiagnosis of patients with re-examination within 72 hours in emergency treatment.Methods:The clinical data of adult patients with re-examination within 72 hours in emergency treatment were retrospectively analyzed.Results:444 valid samples were selected,39 cases(8.7%) were judged as initial misdiagnosis,the two most common initial diagnosiss were acute gastroenteritis in 9 cases and upper respiratory tract infection in 6 cases,the two most common final diagnosiss were biliary tract diseases in 6 cases and urinary tract infection in 6 cases.The reasons of misdiagnosis were that medical history collection was not comprehensive,physical examination was not comprehensive,comprehensive analysis was not enough.Conclusion:Emergency patients in old age,visiting at late night and with re-examination within 48 hours were prone to misdiagnosis.
