首页 | 本学科首页   官方微博 | 高级检索  
检索        

尔氏征对诊断脾破裂的应用价值
引用本文:蔡海.尔氏征对诊断脾破裂的应用价值[J].医学理论与实践,2002,15(10):1146-1147.
作者姓名:蔡海
作者单位:江苏省宜兴市人民医院普外科,214200
摘    要:为了探讨尔氏征(Kehr’s sign)对诊断脾破裂的应用价值。回顾性分析了1991~2001年间收治的427例脾破裂的临床资料。结合3个典型病例,对脾破裂患者出现尔氏征的临床意义作了探讨。结合文献指出,临床上Kehr征的阳性率较高,但常被忽视。脾破裂为重危急症,B超、CT不宜列为常规检查,病情危急或检查条件不具备时,根据临床表现,结合尔氏征,对术前确立脾破裂诊断和正确选择手术切口,有临床应用价值。

关 键 词:脾破裂  尔氏征  漏诊  误诊
修稿时间:2002年5月26日

The Utilizable Value of Kehr' s Sign in Patients wtth Splenic Rupture
CAI Hai.The Utilizable Value of Kehr'''' s Sign in Patients wtth Splenic Rupture[J].The Journal of Medical Theory and Practice,2002,15(10):1146-1147.
Authors:CAI Hai
Institution:CAI Hai. Department of General Surgery,Yuxing People' s Hospital,Jiangsu 214200
Abstract:In order to investigate the utilizable value of Kehr' sign in patients with splenic rupture, the clinical data of 427 patients with splenic rupture were analysed retrospectively from 1991 to 2001. A study on the clinical significance of Kehr' sign in patients with splenic rupture was carried on, and 3 typical cases were introduced. It should be pointed out that the positive rate of Kehr' sign was very high, which,however,was frequently neglected.Splenic rupture is mostly a critical case, therefore,ultrasound and computed tomography shouldn't be regarded as routine examinations. If the case is too urgent to be given an imaging examination or the local hospital is poorly equipped, a general analysis of the patient's clinical symptoms and signs, combined with Kehr's sign, is much value in establishing the diagnosis of splenic rupture and leading to the desired incision preparatively.
Keywords:Splenic rupture  Kehr's sign  Missed diagnosis  Misdiagnosis  
本文献已被 CNKI 维普 万方数据 等数据库收录!
设为首页 | 免责声明 | 关于勤云 | 加入收藏

Copyright©北京勤云科技发展有限公司  京ICP备09084417号