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目的分析胰腺癌早期误诊的病种、原因,为避免误诊提供参考,以提高早期诊断率。方法回顾性分析河北省秦皇岛市第二医院2001-2008年收治的胰腺癌患者早期误诊情况。结果67例胰腺癌患者中35例误诊,误诊率52.2%;主要诊断病种:胆囊炎、胆石症、慢性胃炎、糖尿病、消化性溃疡等。结论胰腺癌因早期症状缺乏特异性,极易误诊,临床医师应认识其各种症状,系统检查,综合分析,减少误诊。
Objective To analyze the types and causes of early misdiagnosis of pancreatic cancer and provide reference for avoiding misdiagnosis in order to improve the early diagnosis rate. Methods The early misdiagnosis of patients with pancreatic cancer admitted to the Second Hospital of Qinhuangdao, Hebei Province from 2001 to 2008 was retrospectively analyzed. Results Of 67 patients with pancreatic cancer, 35 cases were misdiagnosed with a misdiagnosis rate of 52.2%. The main diagnosed diseases were cholecystitis, cholelithiasis, chronic gastritis, diabetes and peptic ulcer. Conclusion Due to the lack of early symptoms of pancreatic cancer specificity, easily misdiagnosed, clinicians should recognize its various symptoms, systematic examination, a comprehensive analysis to reduce misdiagnosis.