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目的探讨酷似急腹症的腹外疾病的临床特点,提高诊断正确率。方法对舟山警备区医院1997-10-2006-10收治的的急腹症267例临床资料作回顾性分析,其中36例,占13.5%,经相关检查后排除急腹症,确诊为腹部外疾病。结果 36例初诊时分别被误诊为急性胰腺炎12例,急性胃肠炎6例,消化性溃疡穿孔5例,急、慢性胃炎各3例,急性胆囊炎1例,诈病2例,癔病3例,腹痛待查1例。结论详细采集病史,系统体检,综合分析病情,选做相关检查是提高诊断率有效手段。
Objective To investigate the clinical features of abdominal diseases resembling acute abdomen and to improve the diagnostic accuracy. Methods The clinical data of 267 cases of acute abdomen treated in Zhoushan Garrison Hospital from October 1997 to June 2006 were retrospectively analyzed, of which 36 cases (13.5%) were diagnosed as abdomen disease after the relevant examinations were excluded . Results 36 cases of newly diagnosed patients were misdiagnosed as acute pancreatitis in 12 cases, acute gastroenteritis in 6 cases, peptic ulcer perforation in 5 cases, acute and chronic gastritis in 3 cases, acute cholecystitis in 1 case, malaria in 2 cases, hysteria 3 For example, abdominal pain to be investigated in 1 case. Conclusion Detailed collection of medical history, physical examination, comprehensive analysis of the disease, choose to do the relevant examination is an effective means to improve the diagnostic rate.