临床误诊误治Issue(5)：1-4,4.DOI:10.3969/j.issn.1002-3429.2015.05.001
误诊疾病数据库单病种误诊文献研究：主动脉夹层
A Study on Misdiagnosis Literature of Single Disease of Chinese Misdiagnosed Disease Database:Aortic Dissection
摘要
Abstract
The incidence rate of Aortic dissection (AD) has been on an increase in recent years. Due to the fact that AD is relatively rare and the clinical manifestations are complicated, its misdiagnosis rate is still high, which leads to an increase of the short-term risk of death and probability of adverse consequences. The overall misdiagnosis rate of misdiagnosis literatures was 38. 96% as shown by the analysis of Misdiagnosed Disease Database during 2005 and 2012 and 442 misdiagnosis literatures are relat-ed to aortic dissection in Chinese and the range of AD misdiagnosed as other diseases has a very wide scope and as many as more than 80 other diseases, mainly as heart cerebrovascular diseases and acute abdominal diseases. Inadequate experience and lack of knowledge of AD is the most common cause of misdiagnosis. Therefore, in order to reduce the misdiagnosis rate, clinicians should have such clinical thinking of"first screening crisis disease such as acute coronary syndrome, pulmonary embolism and AD in pa-tients with chest pain" , a mastery of the relevant knowledge of the disease, an inquiry of history, a comprehensive physical exami-nation and a quick and correct choice of examination method are essential in reducing misdiagnosis and missed diagnosis of AD.关键词
动脉瘤,夹层/误诊Key words
Aneurysm, dissecting/Diagnostic error分类
医药卫生引用本文复制引用
温伟,张新超..误诊疾病数据库单病种误诊文献研究：主动脉夹层[J].临床误诊误治,2015,(5):1-4,4.
