| 十二指肠损伤漏诊9例临床分析 |
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| 引用本文： | 邓伟雄,葛轶群,张年伟,温东东.十二指肠损伤漏诊9例临床分析[J].南方医科大学学报,2004,24(5):604-604,608. |
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| 作者姓名： | 邓伟雄 葛轶群 张年伟 温东东 |
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| 作者单位： | 广州市第一人民医院腹部外科,广东,广州,510180 |
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| 摘 要： | 目的探讨十二指肠损伤漏诊的原因及对策。方法对本院1992~2002年收治的十二指肠损伤漏诊的9例病例作回顾性分析。结果漏诊病例占同期收治的十二指肠损伤总病例的60%(9/15)。漏诊原因为:(1)合并其他脏器损伤,掩盖伤情;(2)伤情轻,被忽视;(3)年轻医生经验不足。结论十二指肠损伤易合并其他腹腔脏器损伤,漏诊率高,术前重视受伤特点和伤后临床表现可避免漏诊。
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| 关 键 词： | 十二指肠损伤/诊断 治疗 漏诊 外伤 腹部 |
| 文章编号： | 1000-2588(2004)05-0604-01 |
| 修稿时间： | 2003年9月23日 |
Clinical analysis of missed diagnosis of duodenal injury in 9 cases |
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| DENG Wei-xiong,GE Yi-qun,ZHANG Nian-wei,WEN Dong-dong.Clinical analysis of missed diagnosis of duodenal injury in 9 cases[J].Journal of Southern Medical University,2004,24(5):604-604,608. |
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| Authors: | DENG Wei-xiong GE Yi-qun ZHANG Nian-wei WEN Dong-dong |
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| Institution: | DENG Wei-xiong,GE Yi-qun,ZHANG Nian-wei,WEN Dong-dongDepartment of Abdominal Surgery,First People's Hospital of Guangzhou,Guangzhou 510180,China |
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| Abstract: | Objective To study the reasons and possibly solutions for missed diagnosis of duodenal injury. Method The clinical records were retrospectively analyzed in 9 cases of missed diagnosis of duodenal injury treated in our hospital in the year 1992 to 2002. Results Of the 15 cases of duodenal injury, missed diagnoses occurred in 9 cases. The reasons for the missed diagnoses included complications by injuries of the other abdominal organs that concealed duodenal injuries, neglect of the light injuries, and the lack of clinical experience on the part of the young doctors. Conclusion Duodenal injury frequently occurs along with other abdominal organ injuries and is easy to escape detection, which can be avoided by careful preoperative examination of the characteristics of injuries and the patients' clinical manifestations after the injury. |
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| Keywords: | duodenal injury/diagnosis treatment miss diagnosis trauma abdominal |
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