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目的:分析50例急性阑尾炎患者的误诊情况。方法:选择我院2009年1月至12月收治的512例急性阑尾炎的患者,经手术及术后病理确诊。结果:经确诊,有50例患者被误诊为阑尾炎,其中,5例被确诊为十二指肠穿孔,7例为血性输卵管炎,9例为子宫外妊娠破裂,5例为胃穿孔,5例为卵巢囊肿破裂,6例为回盲部肿瘤,3例输为卵管结脓,3例为黄体破裂,3例为右侧输尿管结石,4例为回盲部肿。结论:误诊的原因可能是病史采集不全,缺乏全面检查以及辅助检查和医生的综合能力水平较低,因此,应加强对患者病史的采集,辅助各种检查手段来提高诊断的科学性,还应加强科室之间的交流与合作,提高医生的综合能力。
Objective: To analyze the misdiagnosis of 50 patients with acute appendicitis. Methods: A total of 512 patients with acute appendicitis admitted from January 2009 to December 2009 in our hospital were confirmed by operation and postoperative pathology. RESULTS: Fifty patients were diagnosed as having appendicitis. Five of the patients were diagnosed as duodenal perforation, seven as bloody salpingitis, nine as ruptured ectopic pregnancy, five as gastric perforation, and five as gastric perfusion For ovarian cyst rupture, 6 cases of ileocecal tumor, 3 cases of oviduct pus, 3 cases of corpus luteum rupture, 3 cases of right ureteral calculi, 4 cases of ileocecal swelling. Conclusion: The reason of misdiagnosis may be the incomplete collection of medical history, the lack of comprehensive examination and auxiliary examination and the low comprehensive ability of doctors. Therefore, it is necessary to strengthen the collection of patient’s medical history and assisting various examinations to improve the scientific diagnosis. Strengthen exchanges and cooperation between departments and improve the comprehensive ability of doctors.