论文部分内容阅读
目的:探讨以非呼吸道症状首发肺癌的诊断、误诊原因。方法:对我院近20 a来收治初诊误诊的以非呼吸道症状首发的肺癌108例临床资料回顾分析。结果:初诊时分别被误诊为脑血管病、肩周炎、颈椎病、癫痫、精神病、坐骨神经痛、强直性脊椎炎、腰椎病、副癌综合征。结论:以非呼吸道症状为首发的肺癌极易误诊。临床医生应提高认识、及早选用相应检查(X线摄片、胸部CT、纤支镜、痰和胸水脱落细胞、淋巴结活检)便于早期诊断。
Objective: To investigate the diagnosis and misdiagnosis of lung cancer with non-respiratory symptoms. Methods: A retrospective analysis of 108 cases of lung cancer with non-respiratory symptom in our hospital for the first 20 days for initial misdiagnosis. Results: The first visit were misdiagnosed as cerebrovascular disease, frozen shoulder, cervical spondylosis, epilepsy, mental illness, sciatica, ankylosing spondylitis, lumbar disease, paraneoplastic syndrome. Conclusion: Non-respiratory symptoms as the first lung cancer can be easily misdiagnosed. Clinicians should raise awareness, early detection of the appropriate selection (X-ray, chest CT, bronchoscopy, phlegm and pleural effusion cells, lymph node biopsy) for early diagnosis.