共查询到19条相似文献,搜索用时 140 毫秒
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目的:探讨急腹症误诊为急性阑尾炎的原因,提出预防及临床处理措施.方法:回顾某院收治的因急腹症术前诊断为急性阑尾炎,术中证实为误诊的患者临床资料,分析误诊原因及临床处理措施.结果:共有17例术前诊断为急性阑尾炎,术中证实为其他疾病.经积极规范的临床处理后患者均痊愈出院.结论:规范的诊疗措施可以有效减少急腹症误诊为急性阑尾炎,并使误诊患者得到有效治疗. 相似文献
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腹部外伤后急性阑尾炎临床上少见 ,极易误诊。随着腹部创伤的增多及对腹部外伤后急性阑尾炎发病机制的进一步认识 ,目前病例报告逐渐增多。本院 1 996-2 0 0 1年共收治此类病人 1 3例 ,其中误诊3例。现报告如下。1 临床资料1 1 一般情况 1 3例腹部外伤后急性阑尾炎 ,男1 0例 ,女 3例 ,平均 2 2岁。术前明确诊断 1 0例 ,误诊 3例。外伤原因主要为交通事故。病情 :重伤 4例 ,分别为脾破裂、肠系膜撕裂伴血肿、骨盆骨折伴腹膜后血肿、及肠破裂 ,其余均为轻度腹部闭合性外伤。发病时间 6~ 48h 1 1例 ,48~ 72h 2例 ;转移性右下腹痛 2例 … 相似文献
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郑锦德 《中国实用乡村医生杂志》2004,11(12):40
急性阑尾炎以转移性右下腹疼痛、右下腹局限性固定压痛等征象为典型临床表现,临床诊断并不困难,是常见的外科急腹症.但有一些以急性腹痛为主要表现的腹型过敏性紫癜易误诊为急性阑尾炎.我院自2002年1月~2004年6月期间共收治3例因过敏性紫癜而误诊为急性阑尾炎的病例,现报告如下.…… 相似文献
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卵巢破裂误诊为急性阑尾炎19例分析 总被引:2,自引:0,他引:2
俞松林 《中国医师进修杂志》1988,(2)
卵巢破裂出血是妇科急腹症之一,由于缺乏典型症状,临床上常与急性阑尾炎相混淆。本文收集我院自1976~1985年收治的卵巢破裂出血误诊为急性阑尾炎19例(均经手术证实),现就误诊原因以及诊断和治疗作一分析探讨。 相似文献
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目的总结急性阑尾炎误诊原因.方法对12例急性阑尾炎误诊病例进行回顾性分析.结果以阑尾炎收住入院的病人共198例,误诊为阑尾炎12例,12例误诊病人常见误诊疾病为宫外孕、黄体破裂、输卵管积脓等.12例病人均痊愈出院.结论急性阑尾炎是普外科最为常见的急腹症,部分病例临床表现不典型,造成诊断困难,容易发生误诊. 相似文献
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目的 探讨闭合性无骨盆骨折的髂动脉损伤的原因、诊断及救治.方法 回顾性分析10例闭合性无骨盆骨折的髂动脉损伤患者的临床资料.结果 髂总动脉血栓3例,髂外动脉血栓5例(右侧2例、左侧3例),左臀上动脉断裂2例.3例髂总动脉及2例髂外动脉血栓行人造血管移植术,获得成功.髂外动脉切除损伤段直接吻合术1例成功.髂外动脉取栓再通术1例成功,1例失败.左臀上动脉断裂行血管造影栓塞术获得成功.结论 闭合性无骨盆骨折的髂动脉损伤,髂总动脉及髂外动脉以挫伤、血栓形成为主,髂内动脉以破裂为主,应根据损伤的部位及类型采取不同的治疗方法. 相似文献
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目的 探讨临床妇科急症误诊为阑尾炎的常见原因以及避免其发生的预防对策,以提高医院的诊疗质量.方法 对我院24例误诊为阑尾炎的妇科急腹症患者进行回顾性分析.结果 24例误诊为阑尾炎的病例最终均行剖腹探查术,术中诊断分别为右侧卵巢囊肿并发蒂扭转4例、盆腔炎附件炎10例、右侧输卵管炎3例、右侧卵巢囊状滤泡破裂3例、右侧卵巢黄体破裂2例、右侧输卵管积脓1例、右侧输卵管妊娠破裂1例,明确急腹症腹痛原因后进行急诊手术治疗,并采取相应的预防对策后治愈出院.结论 在临床诊疗过程中,临床医生应该对就诊的患者进行细致的检查,结合其其它病史及影像学资料,做出正确的临床诊断,只有这样,才能够为患者解除病痛. 相似文献
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False iliac artery aneurysm following renal transplantation 总被引:1,自引:0,他引:1
We report a very rare case of a false iliac artery aneurysm following renal transplantation. The patient was a 51-year-old women who presented with a painful 10 x 10 cm pulsating mass in her left iliac fossa. The patient had received a second cadaveric renal transplantation 5 years previously. The graft never functioned and transplant nephrectomy was performed 2 weeks later. A CT-scanning showed a 10 x 10 cm large aneurysm arising from the left external iliac artery. At operation a large false aneurysm was identified arising from the original transplant anastomotic site. Due to the extent of the aneurysms, a Gortex graft was inserted between the external iliac artery and the common femoral artery. The patient made an uneventful post-operative recovery. 相似文献
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目的 探讨闭合性无骨盆骨折的髂动脉损伤的原因、诊断及救治。方法 回顾性分析10例闭合性无骨盆骨折的髂动脉损伤患者的临床资料。结果 髂总动脉血栓3例,髂外动脉血栓5例(右侧2例、左侧3例),左臀上动脉断裂2例。3例髂总动脉及2例髂外动脉血栓行人造血管移植术,获得成功。髂外动脉切除损伤段直接吻合术1例成功。髂外动脉取栓再通术1例成功,1例失败。左臀上动脉断裂行血管造影栓塞术获得成功。结论 闭合性无骨盆骨折的髂动脉损伤,髂总动脉及髂外动脉以挫伤、血栓形成为主,髂内动脉以破裂为主,应根据损伤的部位及类型采取不同的治疗方法。 相似文献
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Motoki M Fukui T Shibata T Sasaki Y Hirai H Takahashi Y Suehiro S 《Osaka city medical journal》2010,56(1):1-4
A subclavian artery aneurysm is relatively rare in comparison with other peripheral aneurysms. Surgical repair should be considered regardless of size and location, because thromboembolism or rupture can occur when a small aneurysm is untreated. We describe the management and surgical treatment in a patient with a right subclavian artery aneurysm. Surgical repair included the ligation of the right vertebral artery and reconstruction of the subclavian artery through an upper partial median sternotomy with right supraclavicular extension. Successful repair of the aneurysm was accomplished and the patient's postoperative course was uneventful with no medication. 相似文献
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目的 回顾性分析不典型主动脉夹层的CT表现,探讨MSCT诊断不典型主动脉夹层的价值.方法 分析42例不典型主动脉夹层,并参照Stanford分类法进行分型.结果 42例不典型主动脉夹层,26例为A型,16例为B型.CT表现:(1)主动脉呈半月形或环形增厚,CT平扫时呈高密度,CT值约为50~80 Hu,增强后无强化,与强化主动脉管腔对比反呈低密度.治疗后复查,壁内血肿因吸收而演变为慢性血肿,厚度及长度减小,CT平扫时密度较前降低而呈低密度.(2)内膜钙化向内移位7例.(3)主动脉管腔狭窄、变形16例.(4)全部病例主动脉均有不同程度的动脉粥样硬化改变:主动脉壁不规则增厚、钙化.(5)并发心包、纵隔及胸腔积液和积血共38例.结论 MSCT清楚显示血肿部位、厚度、累及范围及有无并发症,为临床诊治及预后提供了重要的信息,是一种安全、有效和无创的诊断方法. 相似文献
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Y W Chia R Carachi A A Armstrong G W McGarry D Carrington 《Journal of the Royal Society of Medicine》1993,86(5):259-260
Serum alpha-interferon levels were analysed in 50 consecutive children admitted with right iliac fossa pain. Serum alpha-interferon levels were significantly raised in 33% of children without acute appendicitis when compared to 5.7% of children with histologically proven acute appendicitis and 9% of normal controls. This interesting phenomenon needs further investigation. A larger series may show it to be of clinical use in non-specific abdominal pain in childhood. 相似文献
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Stanley Uwaezuoke Ezenwa Udoye Ebitimitula Etebu 《Ethiopian journal of health sciences》2013,23(1):69-72
Endometriosis is a common disease generally, but appendiceal endometriosis causing acute appendicitis is a very uncommon clinical phenomenon and a few cases have been reported. The authors aim to highlight the rarity of such clinical entity in Nigeria. A 29 year old nulliparous woman presented with severe right iliac fossa pains, tenderness and rebound tenderness on her second day of menstruation. She subsequently had appendicectomy and a histopathological diagnosis of appendiceal endometriosis causing acute appendicitis. Appendiceal endometriosis causing acute appendicitis is rare, and definitive diagnosis is performed through histopathological evaluation. Post-operative gynaecological follow-up is highly recommended. 相似文献