临床误诊误治Issue(10)：19-25,7.DOI:10.3969/j.issn.1002-3429.2015.10.006
误诊疾病数据库2005-2012年单病种误诊文献研究：蛛网膜下腔出血
A Study on Misdiagnosis Literature of Single Disease of Chinese Misdiagnosed Disease Database:Subarachnoid Hem-orrhage
摘要
Abstract
Subarachnoid hemorrhage ( SAH) is a common type of cerebrovascular disease. Although clinically diag-nostic technique develops quickly, the misdiagnosis rate of SAH is still high. 118 literatures of misdiagnosis SAH were select-ed from enrolled misdiagnosis disease database, published in Chinese medical journals during 2005 to 2012. The enrolled mis-diagnosed cases were 2085 patients and the average misdiagnosis rate was 20. 43%. The misdiagnosis diseases involved 80 kinds of diseases. Among them, the most misdiagnosed cases were posterior circulation ischemia, headache and hypertension. 29 kinds of diseases from 162 literatures including 394 patients were found to be frequently misdiagnosed as SAH after search-ing full disease database. The top three diseases were venous sinus thrombosis, intracranial hypotension syndrome and cerebral hemorrhage. In the 2085 misdiagnosed cases, the leading misdiagnosis cause was lack of clinical experience and lack of awareness of the disease on the physicians' part, accounting for 24. 23%, including 133 cases (6. 38%) developed grade Ⅰmisdiagnosis result (death or obvious sequela), 21 cases (1. 01%) gradeⅡmisdiagnosis result (prolonged disease course or unnecessary surgery), 1225 cases (58. 75%) grade Ⅲ misdiagnosis results (no obvious adverse Sequa), and 706 cases (33. 86%) were unclear due to lost follow up or unexplained prognosis of literatures. The results imply that clinical physicians should enrich the knowledge of SAH. The detailed history and careful physical examination, timely and reasonable lumbar puncture, and CT examination are essential for early diagnosis and treatment so as to reduce mortality rate.关键词
蛛网膜下腔出血/误诊/头痛/椎底动脉供血不足/高血压Key words
Subarachnoid hemorrhage/Misdiagnosis/Headache/Vertebrobasilar insufficiency/Hypertension分类
医药卫生引用本文复制引用
周中和,陈会生..误诊疾病数据库2005-2012年单病种误诊文献研究：蛛网膜下腔出血[J].临床误诊误治,2015,(10):19-25,7.基金项目
辽宁省科技攻关计划(2014225008、2013225089) （2014225008、2013225089）
