Misdiagnosis of 28 cases of pulmonary embolism.docVIP

 PAGE \* MERGEFORMAT 5 Misdiagnosis of 28 cases of pulmonary embolism Clinical manifestations of pulmonary embolism complex and diverse, high rate of misdiagnosis. This paper reviews the 2000-03 ~ 2008-11, Department of Cardiology, Department of Respiratory Medicine of our hospital had 28 cases misdiagnosed as other diseases clinical data of patients with pulmonary embolism, the paper discusses the causes of misdiagnosis. 1 Subjects and methods Pulmonary embolism diagnostic criteria, in line with the following (1 ~ (2 any one who may be diagnosed as pulmonary embolism. (1 choice pulmonary angiography (CPA indicating pulmonary obstruction or filling defect. (2 lung ventilation perfusion scan (ECT showed perfusion lesion sites missing, and ventilation were normal or close. The youngest group, 35 years old, maximum 72 years, mean 52.8 years .51 years or older accounted for 72%. underlying diseases: fracture in 2 cases, 8 cases of coronary heart disease, rheumatic heart disease 3 patients with chronic obstructive pulmonary disease (COPO lung pulmonale in 8 cases, 3 cases, hypertension in 3 cases, no specific underlying disease in 1 case. This group of clinical manifestations (case times are shortness of breath, difficulty breathing in 22 cases , 18 cases of chest pain, syncope in 3 cases, hemoptysis in 3 cases, 8 cases of heart palpitations, irritability in 7 cases, 2 cases of sense of impending doom, hypotension in 5 cases, 5 cases of cyanosis, wheezing lungs were covered with 2 cases, moist rales 7 cases, 8 cases of jugular vein engorgement, tachycardia in 22 cases, 10 cases of arrhythmia, P2gt; A212 cases, tricuspid systolic murmur in 2 cases, S Q T 8 cases, ST segment and T wave abnormalities in 10 cases, blood oxygen in 21 cases, WBA \ C higher in 14 patients, ESR in 20 cases. Chest X ray: the shadow of 9 cases of infiltration, pleural effusion in 8 cases, 5 cases of sparse markings, signs of pulmonary hypertension in 4 cases, wedge-shaped sha