Clinical analysis of atypical pulmonary embolism

VernacularTitle:非典型肺栓塞症临床分析
Author: Changan WANG ; Li LUO ; Hongmin ZHOU ; Xi DAI ; Yuying LI ; Shukai DENG ; Wenping LIU
Publication Type:Journal Article
Keywords: pulmonary embolism; misdiagnosis; symptoms and signs; differential diagnosis
From: Chongqing Medicine 2015;(31):4376-4378
CountryChina
Language:Chinese
Abstract: Objective To analyze the common reasons for misdiagnosis of atypical pulmonary embolism (APE) ,and to im‐prove the identification of APE .Methods The risk factors ,clinical manifestations ,laboratory examinations and radiographic data of 120 cases of APE diagnosed from January 2006 to December 2013 in the department of cardiovascular medicine and respiratory medicine of Xinqiao Hospital and the Affiliated Hospital of Luzhou Medical College were studied retrospectively .Results Among those 120 cases of APE ,39 cases were misdiagnosed on admission (32 .5% ) .8 cases were misdiagnosed as acute coronary syn‐drome ,7 cases as stable angina pectoris ,7 cases as chronic cor pulmonale ,5 cases as pneumonia ,3 cases as pleural effusion ,3 cases as tuberculosis ,3 cases as asthma ,1 case as atrial septal defect ,1 case as acute heart failure ,and 1 case as cardiogenic syncope .Con‐clusion APE is easy to be misdiagnosed for its non‐specific clinical manifestation .Pulmonary enhanced CT or CTPA should be car‐ried out in time for those highly suspected patients ,in order to reduce the misdiagnosis of APE .