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目的 :探讨溃疡病穿孔的误诊原因。方法 :回顾近 10 a收治的 12 32例溃疡病穿孔患者 ,将 2 4例误诊病例的术前误诊和术后确诊资料作分析总结。结果 :误诊 2 4例 ,均在腹痛剧烈及广泛腹膜炎的基础上诊断 ,忽视了症状学、X光腹部检查、腹穿等资料分析 ,因而致术中探查发现误诊。结论 :综合分析急腹症患者病情 ,结合现代化检查方式是提高溃疡病穿孔患者误诊的重要环节。
Objective: To investigate the causes of misdiagnosis of ulcer disease perforation. Methods: A retrospective study of 1232 patients with ulcer perforation admitted in the recent 10 years was conducted. The misdiagnosis and postoperative diagnosis of 24 misdiagnosed cases were analyzed and summarized. Results: Twenty-four cases were misdiagnosed. All of them were diagnosed on the basis of severe abdominal pain and extensive peritonitis, and neglected the symptomology, X-ray examination of the abdomen, abdominal perforation and other data analysis. Conclusion: A comprehensive analysis of the condition of patients with acute abdomen, combined with modern inspection methods is to improve the misdiagnosis of an important part of patients with ulcer disease perforation.