| 小儿消化性溃疡急性穿孔误诊分析 |
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| 引用本文： | 李桢,张红亚,李保东. 小儿消化性溃疡急性穿孔误诊分析[J]. 河南职工医学院学报, 2007, 19(2): 114-116 |
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| 作者姓名： | 李桢 张红亚 李保东 |
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| 作者单位： | 新乡市中心医院普瘤外科;新乡医学院第二附属医院,河南,新乡,453002;河北医科大学,河北,石家庄,050000 |
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| 摘 要： | 目的 探讨小儿消化性溃疡急性穿孔的临床特点及误诊原因,以提高诊断水平,降低误诊率,减少并发症.方法 对1993年9月～2003年12月对经手术证实的32例小儿消化性溃疡急性穿孔病例临床资料进行回顾性分析.结果 术前确诊12例,误诊20例,误诊病例临床表现多无特异性.全组无死亡病例,其中6例切口延期愈合.结论 小儿消化性溃疡急性穿孔临床症状、体征多不典型,尤其早期确诊较为困难,误诊率高.X线、B超及其联合检查可提高诊断率.严密临床观察,提高对本病的认识,反复腹腔穿刺,及时行剖腹探查是避免因误诊而导致严重后果的关键.
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| 关 键 词： | 儿童 消化性溃疡穿孔/诊断 误诊 |
| 文章编号： | 1008-9276（2007）02-0114-03 |
| 修稿时间： | 2006-12-25 |
Misdiagnosis Analysis of Acute Perforation of Peptic Ulcer in Children |
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| LI Zhen,ZHANG Hong-ya,LI Bao-dong. Misdiagnosis Analysis of Acute Perforation of Peptic Ulcer in Children[J]. Journal of Henan Medical College For Staff and Workers, 2007, 19(2): 114-116 |
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| Authors: | LI Zhen ZHANG Hong-ya LI Bao-dong |
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| Affiliation: | 1. Department of General Surgery, Central Hospital of Xinxiang, Xinxiang Henan 453002, China ; 2. Second Affiliated Hospital of Xinxiang Medical College , Xinxiang Henan , China ; 3. Deportment of General Surgery, Hebei Medical College, Shijiazhuang , Hebei 050000 China |
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| Abstract: | Objective To study the clinical characteristics and misdiagnostic causes of acute perforation of peptic ulcer(APPU) in children.Methods The clinical data of 32 cases of APPU proved by operations in children from Sep.1993 to Dec.2003 were analysed retrospectively.Results Clinical manifestations were not specific.The diagnosis was made preoperatively in 12 cases and misdiagnosed in the other 20 cases.There was no mortality in this series.Six cases had cut delayed healing.Conclusions The clinical manifestation of APPU in children has no specific clinical presentation.The early diagnosis of APPU in children is difficult.Combined usage of X-ray and B-ultrasonic examination can apparently improve the accurate of diagnosis. |
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| Keywords: | children peptic ulcer perforation diagnosis misdiagnosis |
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