2004-2013年耳鼻咽喉疾病中国误诊大数据概要分析

发布时间：2018-03-13 17:50

  本文选题：鼻疾病　切入点：耳疾病　出处：《临床耳鼻咽喉头颈外科杂志》2016年15期 　论文类型：期刊论文

【摘要】：目的:了解我国耳鼻咽喉疾病的临床误诊概况,为减少误诊、提高诊断水平提供参考依据。方法:利用误诊疾病数据库检索与管理系统对数据库已收录的2004-2013年误诊文献数据中所有耳鼻咽喉疾病文献进行统计学分析,包括文献来源、样本量、误诊率、误诊范围、误诊后果、误诊原因等。结果:共命中文献369篇,累计误诊病例4 211例。共51种确诊疾病,平均误诊率为25.43%,误诊率最高为鼻咽结核(84.76%)、结核性中耳炎(75.00%)、先天性喉囊肿(75.00%),最低为鼻窦炎(5.92%)。误诊病例数最高的前3位疾病依次为鼻咽喉结核(1 216例)、鼻-鼻窦炎(710例)和良性阵发性位置性眩晕(697例)。对误诊后果的统计显示,97.22%的患者为Ⅲ级误诊后果,即发生误诊误治未造成不良后果,但仍有10例造成Ⅰ级后果(死亡或后遗症)。对文献中误诊原因频次进行统计,居前3位的依次为经验不足缺乏对该病的认识,问诊及体检不细致和未选择针对性检查措施。结论:10年误诊大数据结果在一定程度上反映了我国耳鼻咽喉疾病的误诊现象,耳鼻咽喉科和神经科、口腔科、呼吸科及眼科医生都应了解容易误诊的耳鼻咽喉疾病的鉴别诊断要点,力求减少临床误诊误治。
[Abstract]:Objective: to understand the general situation of clinical misdiagnosis of otorhinolaryngology in China, in order to reduce misdiagnosis. Methods: by using the database retrieval and management system of misdiagnosis diseases, all the literature on otorhinolaryngopharynx diseases in the misdiagnosis literature data collected from 2004 to 2013 in the database were analyzed statistically, including the sources of the literatures. Results: a total of 369 documents were hit, 4 211 cases were misdiagnosed, 51 kinds of diseases were diagnosed. The average misdiagnosis rate was 25.43. The highest misdiagnosis rate was nasopharyngeal tuberculosis (84.76C), tuberculous otitis media (75.00), congenital laryngeal cyst (75.00), and nasal sinusitis (5.922um). The top three diseases with the highest number of misdiagnosed cases were nasopharyngeal tuberculosis (1 216 cases), rhinosinosinusitis (710). And 697 cases of benign paroxysmal positional vertigo. The results of misdiagnosis showed that 97.22% of the patients were grade 鈪，

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