摘要
目的为减少急性阑尾炎的误诊,对21例急性阑尾炎误诊原因进行分析。方法对1995—2006年因误诊阑尾炎而手术的21例病例,进行误诊原因的探讨。结果21例患者术前均有右下腹痛,其中男7例,女14例,男性误诊的疾病有局限性回肠炎3例、急性肠炎2例、盲肠壁脓肿1例和盲肠癌1例;女性误诊疾病有宫外孕2例、右侧卵巢囊肿蒂扭转2例、急性盆腔炎6例、黄体破裂1例、急性肠炎1例和局限性回肠炎2例。结论急性阑尾炎的诊断必须根据详细的病史、全面的体格检查、必要的实验室和影像学检查,认真分析后方能得出正确的诊断,必须对单凭右下腹压痛便主观认为阑尾炎而匆忙进行手术导致的误诊、误治引以为戒。
Objective To explore the misdiagnostic reason of 21 acute appendicitic cases in order to reduce the misdiagnosis of acute appendicitis. Methods Respectively analyzing 21 cases misdiagnosed acute appendicitis that were underdone operation during 1995-2006 in our hospital, the misdiagnostic reason is essayed. Results The all patients have right hypogastric pain, 7 males and 14 females, the misdiagnostic disease include 3 cases of regional enteritis, 2 cases of acute enteritis, 1 cases of cecowall abscess; and 1 case of cecocolonic cancer in male group, 2 cases of ectopic pregnancy, 2 cases of torsion of the pedicle of right ovarian cyst, 6 cases of acute pelvic inflammation, 1 cases of rupture of corepus luteum, 1 cases of acute enteritis and 2 cases of regional enteritis in female group ; Conclusion The diagnosis of acute appendicitis should depend on detailed medical history, comprehensibasedyiscal assessment, necessary laboratory test and imageological checking. Only based on hypogastric tenderness to diagnose acute appendicitis subjectively and underdo operation hurrily, the possibility of misdiagnosis and mistreatment should be taken warning.
出处
《广州医药》
2007年第5期45-46,共2页
Guangzhou Medical Journal
关键词
急性阑尾炎
误诊
措施
Acute appendicitis
Misdiagnosis
Measure
