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目的提高急性出血坏死性肠炎的诊治水平。方法回顾性分析我院2005年—2008年期间误诊的6例急性出血坏死性肠炎患者的临床资料,并结合相关文献资料进行讨论分析,找出误诊原因。结果 3例患者早期均为误诊,3例诊断为绞窄性肠梗阻,1例诊断为急性阑尾炎,2例诊断为急性细菌性痢疾。其中4例急诊手术确诊,2例入院2天后确诊,均经治疗后痊愈出院。结论提高对本病的认识、认真综合分析临床资料是减少该病误诊的唯一方法。
Objective To improve the diagnosis and treatment of acute hemorrhagic and necrotic enteritis. Methods The clinical data of 6 patients with acute hemorrhagic necrotizing enterocolitis who were misdiagnosed during our hospital from 2005 to 2008 in our hospital were analyzed retrospectively. The reasons of misdiagnosis were analyzed with the related literatures. Results All 3 patients were misdiagnosed in the early stage, 3 cases were diagnosed as strangulated intestinal obstruction, 1 case was diagnosed as acute appendicitis and 2 cases were diagnosed as acute bacillary dysentery. Among them, 4 cases were confirmed by emergency operation and 2 cases were confirmed after 2 days admission. All patients were discharged after treatment. Conclusion Increasing awareness of the disease and careful analysis of clinical data is the only way to reduce the misdiagnosis of the disease.