Cui WANG, Lu YANG, Dongmei WU, Simin YANG, Qunsong KANG. The Mediating Effect of Hospital Unit Safety Climate between the Nursing Work Environment and Job Satisfaction[J]. Journal of Kunming Medical University, 2024, 45(6): 175-181. doi: 10.12259/j.issn.2095-610X.S20240625
Citation: Shen Wen . Analysis of Clinical Characteristics and Misdiagnosis of 178 Patients with Pulmonary Embolism[J]. Journal of Kunming Medical University, 2016, 37(05).

Analysis of Clinical Characteristics and Misdiagnosis of 178 Patients with Pulmonary Embolism

  • [Abstract]Objective The study aimed to analyze the clinical data of patients with pulmonary embolism and summarize the clinical characteristics of pulmonary embolism, in order to improve the correct diagnostic rate and the prognosis. Methods Data of 178 patients who were cured in our hospital from January 2011 to December 2014 were analyzed retrospectively, including relative risk factors,clinical behaviors,examination data, misdiagnosis and prognosis. Results Patients with pulmonary embolism had related basic diseases and risk factors. Their clinical symptoms, signs and ordinary detection methods indicated pneumatorexis and cardiovascular injury, but lacked of specificity. The misdiagnosis rate of the first diagnosis was 48.88%,including 22 cases of the misdiagnosis to COPD,18 cases to pneumonia and 16 cases to coronary heart disease. The misdiagnosis rate of elderly patients was 56.36%, while that of the young and middle-aged patients was 36.80%,the difference was statistically significant,P < 0.05. Computed tomography pulmonary angiography(CTPA)could accurately observe the pathological changes of pulmonary embolism,and all the patients were diagnosed by CTPA in the research. 11 cases(10%)of elderly patients died,while 2 cases(2.9%)happened in young and middle-aged patients. There was no statistical significant difference(P > 0.05). Conclusion Although the related risk factors of pulmonary embolism in patients existed,the misdiagnosed rate of the disease was high and prognosis was poor due to many confusing basic diseases. And the symptoms,signs and ordinary inspection of the patients lacked specificity. CTPA,being utilized to diagnose pulmonary embolism reliably,should be promoted.
  • Relative Articles

    [1] Minhui ZHANG, Weidan YIN, Zhulin HU, Hua LI, Liwei ZHANG, Yuling REN. Clinical Features and Prognosis of Acute Macular Neuroretinopathy Associated with Novel Coronavirus Infection. Journal of Kunming Medical University, 2025, 46(4): 1-9.
    [2] Jianfang MA, Xiaoling HUANG, Yanhua LI, Di MA, Kaifen YUAN. Analysis of Clinical Characteristics and Death Risk Factors in Patients with Community-acquired Pneumonia Complicated with Diabetes. Journal of Kunming Medical University, 2024, 45(2): 123-130.  doi: 10.12259/j.issn.2095-610X.S20240217
    [3] Weijie LI, Liqin CHEN, Yaling LI, Yonghui HAN, Xiaojuan LI, Fendong YAN. Epidemiology, Clinical Characteristics and Risk Factors of 148 Severe Pertussis Cases in Yunnan. Journal of Kunming Medical University, 2022, 43(8): 145-149.  doi: 10.12259/j.issn.2095-610X.S20220824
    [4] Bo TIAN, Yinzhong SHEN, Jinsong BAI, Jun LIU, Haiyun CHEN, Jianjun SUN. Clinical Characteristics of Talaromyces Marneffei Disease and Disseminated Nontuberculosis Mycobacterium Disease in AIDS Patients. Journal of Kunming Medical University, 2022, 43(7): 140-144.  doi: 10.12259/j.issn.2095-610X.S20220718
    [5] Weimin LU, Xiaotao YANG, Ying ZHU, Yi HUANG, Houyu CHEN, Haifeng JIN, Yanchun WANG. Clinical Features and Risk Factors for Critical Cases of Scrub Typhus in 175 Children. Journal of Kunming Medical University, 2022, 43(8): 72-80.  doi: 10.12259/j.issn.2095-610X.S20220814
    [6] Zhiying LU, Meifen WANG, Junchao PENG, Zengqing DU, Yunjiao LUO, Wei MA. Comparison of Serum PCT, IL-6, SAA Levels and Clinical Characteristics between Rotavirus and Norovirus Enteritis in Children. Journal of Kunming Medical University, 2022, 43(8): 138-144.  doi: 10.12259/j.issn.2095-610X.S20220823
    [7] Yong-ji FU, Fei PENG, Mei GUO, Hua YAN, Qing-cheng SHEN, Jin-xi BAI, Liu YANG. Clinical Characteristics of Gastric Cancer in Young Patients: A Retrospective Cohort Study. Journal of Kunming Medical University, 2021, 42(5): 81-86.  doi: 10.12259/j.issn.2095-610X.S20210515
    [8] Hui-bo YANG, Qin MIAO, De-liang LIU, Si-si LI. Clinical Study on Characteristics of Kawasaki Disease in Yunnan Province. Journal of Kunming Medical University, 2020, 41(11): 103-108.  doi: 10.12259/j.issn.2095-610X.S20201121
    [9] Li Yan Ping . The Clinical Characteristics of Patients with Chronic Heart Failure with Preserved Ejection Fraction. Journal of Kunming Medical University,
    [10] Yang Li Hua . . Journal of Kunming Medical University,
    [11] Chen Rong Shou . . Journal of Kunming Medical University,
    [12] Feng Jun . . Journal of Kunming Medical University,
    [13] Cao Shao Dang . . Journal of Kunming Medical University,
    [14] Huang Wei . . Journal of Kunming Medical University,
    [15] Yang Jian Hua . . Journal of Kunming Medical University,
    [16] Li Xian Li . . Journal of Kunming Medical University,
    [17] Tan Yun Ling . . Journal of Kunming Medical University,
    [18] . . Journal of Kunming Medical University,
    [19] Zhang Min . . Journal of Kunming Medical University,
    [20] Dong Ming Lin . . Journal of Kunming Medical University,
  • Created with Highcharts 5.0.7Amount of accessChart context menuAbstract Views, HTML Views, PDF Downloads StatisticsAbstract ViewsHTML ViewsPDF Downloads2024-052024-062024-072024-082024-092024-102024-112024-122025-012025-022025-032025-04050100150200
    Created with Highcharts 5.0.7Chart context menuAccess Class DistributionFULLTEXT: 45.1 %FULLTEXT: 45.1 %META: 52.5 %META: 52.5 %PDF: 2.4 %PDF: 2.4 %FULLTEXTMETAPDF
    Created with Highcharts 5.0.7Chart context menuAccess Area Distribution其他: 5.4 %其他: 5.4 %其他: 0.1 %其他: 0.1 %Canton: 0.1 %Canton: 0.1 %China: 0.3 %China: 0.3 %Falkenstein: 0.6 %Falkenstein: 0.6 %Girard: 0.2 %Girard: 0.2 %Seattle: 0.1 %Seattle: 0.1 %上海: 0.4 %上海: 0.4 %丽江: 0.2 %丽江: 0.2 %亳州: 0.1 %亳州: 0.1 %保定: 0.1 %保定: 0.1 %保山: 0.5 %保山: 0.5 %六安: 0.2 %六安: 0.2 %兰州: 0.3 %兰州: 0.3 %内江: 0.1 %内江: 0.1 %北京: 28.5 %北京: 28.5 %十堰: 0.7 %十堰: 0.7 %南京: 0.6 %南京: 0.6 %南昌: 0.2 %南昌: 0.2 %台州: 0.1 %台州: 0.1 %呼和浩特: 0.1 %呼和浩特: 0.1 %哥伦布: 0.2 %哥伦布: 0.2 %嘉兴: 0.6 %嘉兴: 0.6 %大理: 0.2 %大理: 0.2 %天津: 1.0 %天津: 1.0 %太原: 0.4 %太原: 0.4 %安康: 0.1 %安康: 0.1 %宣城: 0.9 %宣城: 0.9 %宿州: 0.1 %宿州: 0.1 %常州: 0.3 %常州: 0.3 %常德: 0.1 %常德: 0.1 %广州: 0.1 %广州: 0.1 %张家口: 4.6 %张家口: 4.6 %恩施: 0.1 %恩施: 0.1 %悉尼: 0.3 %悉尼: 0.3 %成都: 0.2 %成都: 0.2 %扬州: 0.9 %扬州: 0.9 %无锡: 0.2 %无锡: 0.2 %昆明: 2.6 %昆明: 2.6 %朝阳: 0.1 %朝阳: 0.1 %杭州: 1.4 %杭州: 1.4 %柳州: 0.1 %柳州: 0.1 %武汉: 0.1 %武汉: 0.1 %沈阳: 0.2 %沈阳: 0.2 %泉州: 0.1 %泉州: 0.1 %波士顿: 0.1 %波士顿: 0.1 %济南: 0.2 %济南: 0.2 %深圳: 0.6 %深圳: 0.6 %温州: 0.5 %温州: 0.5 %湖州: 0.1 %湖州: 0.1 %湘西: 0.1 %湘西: 0.1 %漯河: 3.5 %漯河: 3.5 %玉溪: 0.1 %玉溪: 0.1 %石家庄: 0.6 %石家庄: 0.6 %福州: 0.4 %福州: 0.4 %纽约: 0.2 %纽约: 0.2 %绵阳: 0.1 %绵阳: 0.1 %芒廷维尤: 15.2 %芒廷维尤: 15.2 %芝加哥: 1.1 %芝加哥: 1.1 %茂名: 0.1 %茂名: 0.1 %衡水: 0.1 %衡水: 0.1 %衡阳: 0.1 %衡阳: 0.1 %衢州: 0.1 %衢州: 0.1 %襄阳: 0.2 %襄阳: 0.2 %西宁: 10.0 %西宁: 10.0 %西安: 0.2 %西安: 0.2 %诺沃克: 0.6 %诺沃克: 0.6 %贵阳: 0.2 %贵阳: 0.2 %赣州: 0.1 %赣州: 0.1 %辽源: 0.1 %辽源: 0.1 %运城: 0.2 %运城: 0.2 %遵义: 0.1 %遵义: 0.1 %邯郸: 0.1 %邯郸: 0.1 %郑州: 10.0 %郑州: 10.0 %重庆: 0.5 %重庆: 0.5 %金华: 0.2 %金华: 0.2 %铁岭: 0.3 %铁岭: 0.3 %银川: 0.1 %银川: 0.1 %镇江: 0.2 %镇江: 0.2 %长春: 0.1 %长春: 0.1 %长沙: 0.4 %长沙: 0.4 %驻马店: 0.1 %驻马店: 0.1 %其他其他CantonChinaFalkensteinGirardSeattle上海丽江亳州保定保山六安兰州内江北京十堰南京南昌台州呼和浩特哥伦布嘉兴大理天津太原安康宣城宿州常州常德广州张家口恩施悉尼成都扬州无锡昆明朝阳杭州柳州武汉沈阳泉州波士顿济南深圳温州湖州湘西漯河玉溪石家庄福州纽约绵阳芒廷维尤芝加哥茂名衡水衡阳衢州襄阳西宁西安诺沃克贵阳赣州辽源运城遵义邯郸郑州重庆金华铁岭银川镇江长春长沙驻马店

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Article Metrics

    Article views (3671) PDF downloads(149) Cited by()
    Proportional views
    Related

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return