[1]陈腊梅.肋骨骨折X线首诊漏诊原因分析[J].医学信息,2018,31(20):189-190.[doi:10.3969/j.issn.1006-1959.2018.20.060]
　CHEN La-mei.Analysis of the Reasons for Missed Diagnosis of the First X-ray Diagnosis of Rib Fractures[J].Medical Information,2018,31(20):189-190.[doi:10.3969/j.issn.1006-1959.2018.20.060]
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肋骨骨折X线首诊漏诊原因分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年20期
页码:
189-190
栏目:
出版日期:
2018-10-15

文章信息/Info

Title:
Analysis of the Reasons for Missed Diagnosis of the First X-ray Diagnosis of Rib Fractures
文章编号:
1006-1959（2018）20-0189-02
作者:
陈腊梅
湖北省天门市第一人民医院放射科，湖北 天门 431700
Author(s):
CHEN La-mei
Department of Radiology,First People’s Hospital of Tianmen City,Tianmen 431700,Hubei,China
关键词:
X线; 肋骨骨折; 漏诊
Keywords:
X-ray; Rib fractures; Missed diagnosis
分类号:
R445.4
DOI:
10.3969/j.issn.1006-1959.2018.20.060
文献标志码:
B
摘要:
目的 探讨X线漏诊肋骨骨折的原因, 提出应对措施，降低漏诊率。方法 回顾性阅读我院2017年1月~2018年1月放射科拍片的1298例肋骨骨折的X线片，找出首次X线报告时漏诊56例，通过对漏诊的原因进行分析，总结经验教训。结果 研究发现患者首诊漏诊骨折的主要原因有肋骨先天解剖原因27例（48.21%）；未照肋骨斜位片19例（33.92%）；未照膈下肋片5例（8.92%）；照片质量差1例（1.79%）；放射诊断医师漏诊3例（5.36%）；临床医师病史简单1例（1.79%）。结论 通过分析漏诊原因，制定应对措施，减少漏诊。
Abstract:
Objective To investigate the causes of X-ray missed diagnosis of rib fractures,and propose countermeasures to reduce the rate of missed diagnosis.Methods A retrospective reading of 1298 cases of rib fractures from the Department of Radiology from January 2017 to January 2018 in our hospital was conducted to find out 56 cases of missed diagnosis in the first X-ray report.The causes of missed diagnosis were analyzed and lessons learned.Results The main reason for the patient’s first diagnosis of missed fractures was the congenital anatomy of 27 cases(48.21%);19 cases(33.92%)without rib oblique tablets;5 cases(8.92%)without underarm ribs;The photo quality was poor in 1 case(1.79%);the radiologist was missed in 3 cases(5.36%);the clinician’s medical history was simple in 1 case(1.79%).Conclusion By analyzing the causes of missed diagnosis,formulate countermeasures and reduce missed diagnosis.

参考文献/References:

[1] 许连江.肋骨弓部骨折的投照方法[J].实用放射学杂志,1997,13(4):235. [2] 杨苏文,倪树彬,杨小红.骨折病人放射诊断误诊 232 例原因分析[J].西南国防医药,2011,9(21):985-986. [3]龙然.骨折患者放射诊断误诊原因分析[J].中外医学研究,2015,13(11):118-119.

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更新日期/Last Update: 2018-11-09