Matov V, Ivanov K, Gaĭdazhieva N
Vutr Boles. 1979;18(4):7-15.
The investigation covers 96 patients from Sofia, with cancer of the digestive system, with unsatisfactory early diagnosis -- 3.6 per cent and operability -- 36 per cent. The diagnosis was made after about an average of 6.4 months of the clinical onset of the diseases. Time loss is mainly due to diagnostic errors and less to late asking for doctor's attendance. More than 1/2 of the patients were treated "blindfold" without the proper X-ray and endoscopic investigations and specialized consultations. The most frequent diagnostic errors are: in case of gastric cancer -- "chronic gastritis" and "ulcer disease", 38.9 per cent and 30.6 per cent resp. and in case of cancer of colon and rectum -- "chronic colitis" 37 per cent and "hemorrhoids" -- 22.2 per cent. The patient's delay in the first examination shows an indirect dependence on education and health culture but is conditioned by a complicated complex of solial and psychological moments.
该调查涵盖了来自索非亚的96名消化系统癌症患者，其早期诊断情况不佳（为3.6%），可手术性也较差（为36%）。诊断是在疾病临床发病平均约6.4个月后做出的。时间延误主要是由于诊断错误，因延迟就医导致的延误占比相对较小。超过半数的患者在未进行适当的X光和内窥镜检查及专业会诊的情况下“盲目”接受治疗。最常见的诊断错误有：胃癌患者中，被误诊为“慢性胃炎”的占38.9%，被误诊为“溃疡病”的占30.6%；结肠直肠癌患者中，被误诊为“慢性结肠炎”的占37%，被误诊为“痔疮”的占22.2%。患者首次就诊的延迟间接显示出与教育和健康素养有关，但受到社会和心理等复杂因素的制约。
