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结石性胆道疾病最好的治疗措施仍然是手术。早期手术的价值肯定,并可避免误期手术期间的再次急性发作及癌变危险。若将胆石症胆囊炎误诊为病毒性肝炎(简称肝炎),不仅显著延长住院及康复时间,而且造成医源性肝炎病毒扩散传播。为吸取这方面经验与教训,特对我院肝炎病区及门诊自1977年9月～1986年9月69例最后确诊是胆石症胆囊炎而被误诊为甲型或乙型肝炎的情况,作如下回顾、分析。 误诊情况及误诊误治天数 本组69例胆石症胆囊炎被误诊为急性黄疸型肝炎36例(52％),急性无黄疸型肝炎6例(9％),急性重型肝炎4例(6％),慢性迁延型肝炎2例(3％),胆汁淤积型肝炎17例(24％),黄疸待查、肝炎可能4例(6％),其中误诊为甲型肝炎62例(90％)、乙型肝炎7例(10％)。以初次肝炎门诊至确诊止计,误
The best treatment for stone biliary disease remains surgery. The value of early surgery is certain, and can avoid the recurrence of acute attacks and the risk of cancer during misdiagnosis. Cholelithiasis cholecystitis misdiagnosed as viral hepatitis (referred to as hepatitis), not only significantly prolonged hospitalization and recovery time, but also the spread of iatrogenic hepatitis virus. In order to draw lessons from this experience, we specially misdiagnosed 69 cases of hepatitis C and hepatitis B in our hospital ward and outpatient department from September 1977 to September 1986 as cholelithiasis cholecystitis. The following review, analysis. Misdiagnosis and misdiagnosis and mistreatment days 69 cases of cholelithiasis cholecystitis were misdiagnosed as acute jaundice hepatitis in 36 cases (52%), acute jaundice hepatitis in 6 cases (9%), acute severe hepatitis in 4 cases (6%), 2 cases of chronic persistent hepatitis (3%), 17 cases of cholestatic hepatitis (24%), 4 cases of jaundice (4%), 4 cases of hepatitis (6%), of which 62 cases were misdiagnosed as hepatitis A Seven cases of hepatitis (10%). To the initial diagnosis of hepatitis clinic only count, error