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目的:探讨不典型肝脓肿的诊断。方法:对我院近10 a来收治的40例肝脓肿中,初诊误诊的19例临床资料进行分析。结果:误诊率为47.5%,分别被误诊为胆管疾病、消化性溃疡穿孔、肺炎、肝癌、肝炎、结核性胸膜炎、急性白血病。结论:不典型表现的肝脓肿易被误诊。全面采集病史,鉴别诊断时克服片面性和先入为主,及时选做B超、CT或试验性治疗,可协助早期诊断。
Objective: To investigate the diagnosis of atypical liver abscess. Methods: The clinical data of 19 cases of newly diagnosed misdiagnosis in 40 cases of liver abscess treated in our hospital for nearly 10 years were analyzed. Results: The misdiagnosis rate was 47.5%, which were misdiagnosed as biliary tract diseases, peptic ulcer perforation, pneumonia, liver cancer, hepatitis, tuberculous pleurisy and acute leukemia respectively. Conclusion: Atypical liver abscess is easily misdiagnosed. A comprehensive collection of medical history, differential diagnosis to overcome one-sidedness and preconception based on the timely selection of B ultrasound, CT or experimental treatment can help early diagnosis.