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目的探讨十二指肠淤滞症的误诊原因及诊治方法。方法回顾分析2000年1月至2009年12月孝感市第一人民医院收治的11例十二指肠淤滞症患者的临床资料。结果 11例误诊为幽门溃疡4例,幽门狭窄症1例,神经性厌食症2例,糖尿病酮症2例,肠梗阻2例。11例内科保守治疗,8例治愈,3例症状无明显变化行外科治疗均治愈。结论十二指肠淤滞症临床表现无特异性,易误诊;治疗应先进行内科治疗,对内科保守治疗无效者,应积极行外科治疗。
Objective To investigate the causes of misdiagnosis and diagnosis and treatment of duodenal stasis. Methods The clinical data of 11 patients with duodenal stasis admitted to the First People’s Hospital of Xiaogan from January 2000 to December 2009 were retrospectively analyzed. Results 11 cases were misdiagnosed as pyloric ulcer in 4 cases, pyloric stenosis in 1 case, anorexia nervosa in 2 cases, diabetic ketosis in 2 cases and intestinal obstruction in 2 cases. 11 cases of conservative treatment, 8 cases of cure, 3 cases of no significant change in symptoms were cured surgical treatment. Conclusions The clinical manifestations of duodenal stasis are nonspecific and easily misdiagnosed. The treatment should be carried out first and then the conservative treatment should be performed actively.