急性出血坏死性胰腺炎误诊原因分析（附10例报告）

本文对１０例急性出血坏死性胰腺炎的误诊原因进行分析。指出要减少本病的误诊，重要的是对急性腹痛病人要想到本病的可能，同时重视老年病人的特殊性，再配合腹穿、淀粉酶测定、Ｂ超和ＣＴ扫描等检查。一时难以确诊，则应严密观察，反复检查，必要时剖腹探查，以免贻误治机。

Analysis of misdiagnosis in acute hemorrhagic necrotizing pancreatitis

The causes of misdiagnosis in 10 cases with acute hemorrhagic necrotizing pancreatitis(AHNP) were analysed. The authors believed that important event was consideration of possibility of this disease in patients with acute abdominal pain so as to reduce misdiagnosis of it. In addition, specific characteristics of elder patients should be emphasized, and combined with abdominocentesis, amylase measurement, B-US and CT examination. If the dertermin ation of diagnosis was difficult, the patients should be observed closely examed repeatedly, and if necessary, abdominal exploration should be performed in order to avoid delaying treatmental opportunity.