Abstract:
Objective To explore the causes of misdiagnosis and missed diagnosis on the old patients with pulmonary embolism （PE） and the methods of their prevention. Materials 25 PE patients which the average age was 67.5 years old confirmed by CTA or MRA had been studied. To compare the history , complications, clinical and Radiology features both in correct diagnosis cases and misdiagnosis cases. Results 18 of 25 cases appeared dyspnea. 10 cases were qualm ;7 patients had emptysis and 6 patients occurred chest pain. 11 of 25 cases were been misdiagnosis. Among them, 3.cases were been misdiagnosis for pneumonia,2 cases regarded as pulmonary atelectasis. 2 cases as myocardical infarction and 1 case as acute left heart failure. 3 of 25 patients were been missed diagnosis as normal findings. The cause of misdiagnosis of PE is non-special features been found both in Radiology films and clinical symptoms in the old patients with PE. The skills of diagnosis was less developed both in radiologist and clinical physician were the important causes. The way of preventing the old patients from PE is controlling the related risk factors which may give rise to this diseases. Conclusion The misdiagnosis and missed diagnosis causes of PE in the senile patients were mainly because of doctor＇s little knowledge and limited conditions of medical equipment. Old patients after operation and trauma, Patients with tumor, cerebral-vascular diseases as well as cardiovascular diseases should be checked in time in order to exclude pulmonary embolism.[著者文摘]
Key words:
pulmonary embolism ; misdiagnosis ; missed diagnosis
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