Misdiagnosed as cardiovascular disease analysis of 17 cases of pulmonary embolism.doc

 PAGE \* MERGEFORMAT 10 Misdiagnosed as cardiovascular disease analysis of 17 cases of pulmonary embolism Of: Lin Haixia, Shibao Wen, Hu Jiakun [Keywords:] Pulmonary embolism; misdiagnosed; cardiovascular diseases Pulmonary embolism (PE) is a common cardiovascular disease incidence in the United States and Western Europe, second only to coronary heart disease in cardiovascular disease and high blood pressure, the United States issued each year PE of about 60 million to 70 million people [1], die PE of about 5 million people [1,2]. fatality rate in all hospitalized after the death of tumor disease and myocardial infarction and living in third place [1,3,4], but also on the rise in China. As clinical manifestations of PE differences, and lack of specificity, both at home and abroad there is a high rate of misdiagnosis [5], without proper treatment the mortality rate of 25% to 30% [6]. is now in our hospital in October 1996 -2010 admitted in April 17 cases of misdiagnosis of patients with PE were analyzed retrospectively in order to improve the understanding of PE. 1 Materials and Methods 1.1 General information 17 patients, 11 males (65%), 6 females (35%); age 36 to 77 years old, ages 36 to 60 years in 5 cases (29%), 60 years old in 12 cases (71 %), average 48.7 years old; course of 3 days to 15 months, an average of 3.5 months. misdiagnosed as inside and outside the hospital, after cardiovascular disease, cardiovascular medicine into the hospital patient, underlying disease: deep vein thrombosis complicated with PE 13 (76 %), PE 2 diabetes mellitus (12%), postoperative fracture of PE 1 (6%), cancer concurrent PE 1 (6%). 1.2 symptoms of difficulty breathing, shortness of breath in 14 patients (82%), syncope episode 1 (6%), disturbance of consciousness 2 (12%), chest pain in 12 patients (71%), chest tightness in 12 patients (71%), palpitations 9 patients (53%), irritability, 8 cases (47%), sweating in 8 cases (47%), cough in 5 patients (29%), hem