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肺癌是老年人最常见的恶性肿瘤之一,其早期症状缺乏特异性,加之老年患者的诸多临床特征等因素的影响,以致肺癌的误诊或漏诊情况屡有发生。本文通过对作者所治病例的误诊和漏诊原因分析,初步总结了经验教训。 临床资料 20例误诊患者中男17例,女3例,年龄62～86岁,临床症状有咳嗽咯痰18例,痰中带血13例,胸痛12例,乏力纳差10例,消瘦7例,声音嘶哑及腰痛各2例。病灶位于右肺上叶8例,右肺下叶6例,右肺中叶1例,左肺上叶1例,左肺下叶4例。确诊方式为经纤维支气管镜病理检查9例,
Lung cancer is one of the most common malignancies in the elderly. The lack of specificity of early symptoms, combined with many clinical features of elderly patients, causes misdiagnosis or missed diagnosis of lung cancer. This article summarizes the experience and lessons from the analysis of misdiagnosis and missed diagnosis of the cases treated by the author. Clinical data 20 cases of misdiagnosis patients 17 males and 3 females, aged 62 to 86 years old, clinical symptoms of cough and expectoration in 18 cases, sputum blood in 13 cases, chest pain in 12 cases, fatigue and poor in 10 cases, weight loss in 7 cases There were 2 cases of hoarseness and low back pain. The lesions were located in the right upper lobe in 8 cases, the right lower lobe in 6 cases, the right middle lobe in 1 case, the left upper lobe in 1 case, and the left lower lobe in 4 cases. The diagnosis was confirmed by fiberoptic bronchoscopy in 9 cases.