【摘要】 目的　分析开胸手术后肺栓塞病例的误诊原因。方法　对 14例误诊的肺栓塞患者进行回顾性分析。结果　我科近 4a来共收治各类开胸手术 5 6 8例。术后出现肺栓塞 2 6例 ,误诊 14例 ,误诊率达 5 3%。结论　肺栓塞是一种常见多发病 ,尤其是对于开胸手术后患者 ,其临床表现缺乏特异性 ,极易漏、误诊 ,提高诊断率的关键是要充分了解 ,认识本病 ,对各种术后的异常临床症状和辅助检查结果作综合细致的分析。更多还原

【Abstract】 Objective To analyze the causes of the misdiagnosisof acute pulmonary embolism (APE) after thorax operation.Methods A retrospective review of clinical data of 14 APE case s in our hostital from 1997～2001 was conducted.Results In the overall 568 cases of thorax operations in recent 4 years,26 cases suffered from APE after operations ,and 14 cases were misdiagnosed(53%). Conclusions APE was a common disease, in particular after thorax operation. It lacked specific clinical manifestations, so it was easy to be misdiagnosed and mistreated. The key to improve diagnosis rate of APE was to have a better understanding of it, and analyse it full scale with the help of assistant examinations.更多还原