【摘要】 目的 探讨精神疾病最常见的误诊因素对诊疗的影响,以利提高诊疗水平,降低误诊率。方法 分为误诊组和确诊组,用自行设计的调查表收集造成误诊的可能因素,并通过统计筛查出其中最主要的因素。结果 两组在行为障碍、妄想、精神检查详细度、各级医师对症状认识一致性、诊断一致性、诊断标准符合上存在显著差异。结论 精神疾病的主要误诊因素是病史采集不详细、精神检查粗浅、对症状认识的不一致以及对诊断标准把握上的差异造成。更多还原

【Abstract】 Objective: The study aimed to probe into the factors which caused incorrect diagnosis. Method: According to the medical records cases were divided into correct diagnosis group and wrong diagnosis group. The probable risk factors, which bring about the wrong diagnosis, were screened out. Result-s; There were significant differences between the two groups on the behavioral disorders, delusion, mental status examination, the physician’s recongition of symptoms, diagnosis and the compliance with the CCMD-2 criteria. Conclusion: The risk factors for incorrect diagnosis for mental illness were the undetailed medical history collection and mental status examination, the inconsistency for assessing the clinical symptoms and the less compliance with diagnostic criteria.更多还原