疼痛临床误诊、漏诊病例及原因分析

REASONS OF MISDIAGNOSIS IN PAIN CLINIC

摘要:

目的:分析临床上疼痛患者误诊、漏诊的原因,探讨解决的办法.方法:回顾性研究我院2000年9月到2004年12月收治的1267例住院患者中误诊、漏诊的28例患者,从病史、体格检查、辅助检查、诊断性治疗等方面探讨原因.结果:28例患者中误诊15例、漏诊13例,其中因问病史不详细致误诊、漏诊2例,占7.1%;体格检查不全面7例,占25%;辅助检查资料不全15例,占53.6%;诊断性治疗效果不佳4例,占14.3%.结论:临床医师应重视询问病史、体格检查及其与辅助检查的有机结合,必要时行诊断性治疗,以及时发现病变,明确诊断,提高疼痛性疾病的确诊率,从而避免漏诊和误诊误治.

Abstract:

Objective: To analyse the reasons of misdiagnosis in pain clinic and to find the way of resolving them. Methods: 28 of 1267 cases were reviewed from September 2000 to December 2004, to analyse the causes of misdiagnosis according to case history, physical examination, accessory examination and diagnostic treatment. Results: 2 of 28 cases were due to incomplete case history; 7 and 15 cases lacked thorough physical and supplementary examination, respectively; 4 cases were due to inappropriate diagnostic treatment. Conclusions: Case history, physical and supplementary examinations, diagnostic treatment and the combination of them are very important for pain diagnosis.