To Analyze and Experience the Misdiagnose of Pulmonary Infarction

Abstract：Objective:Clinical and imaging performance of pulmonary infarction is complicated,mistakenly and missed diagnosis ratio is high. Methods:The clinical data of 22 cases with pulmonary infarction were retrospectively analyzed.We summed up the cause of misdiagnosis of this disease,to prompt the correct diagnosis in time,to reduce the misdiagnosis rate and death rate.Results:22 patients after diagnosis given urokinase and heparin,warfarin therapy,due to the lack of knowledge of the beginning,however,failed to take an active thrombolytic therapy,with 7 deaths,a mortality rate as high as 31.8%, the autopsy confirmed arepulmonary infarction;remaining hospitalized 17-30 d,average 24 d,continue anticoagulation therapy after discharge. Conclusion:Pulmonary infarction misdiagnosis rate as high as 79%,without aggressive treatment of the case fatality rate of nearly 30%,and timely diagnosis and treatment of mortality can be reduced to 2%-8%,therefore,timely and accurate diagnosis of pulmonary infarction is the key.