成人急腹症误诊的临床分析及讨论

目的:分析某院门诊诊疗的成人急腹症误诊的原因,减少急腹症误诊率。方法:回顾性分析某院自2017年12月~2018年8月门诊急腹症误诊38例患者的临床资料,分析患者误诊原因并总结。结果:在所有误诊病例中,被误诊病例为急性胃炎8例,胃十二指肠溃疡4例,肠痉挛6例,急性阑尾炎20例。结论:对于急腹症患者,一定要仔细收集患者病史,进行正规的体格检查,进行必要的B超、X线片等辅助检查,慎重准确地进行鉴别诊断,多请专家进行会诊,从而有效降低误诊率。

Clinical Analysis and Discussion of Misdiagnosis of Adult Acute Abdominal Pain

Objective:To analysis the reason ofmisdiagnosis of acute abdomen in the outpatient clinic of a hospital and reduce the misdiagnosis rate of acute abdomen.Methods:The clinical data of 38 patients with acute abdominal disease misdiagnosed in the outpatient department of a hospital from December 2017 to August 2018 were retrospectively analyzed,and the causes of misdiagnosis were analyzed and summarized.Results:Among all the misdiagnosed cases,8 were misdiagnosed as acute gastritis,4 as gastroduodenal ulcer,6 as intestinal spasm and 20 as acute appendicitis.Conclusion:In acute abdomen patients,the patient history must be collected carefully,conduct regular physical examination,and necessary B ultrasound,X-ray and other auxiliary examination should be conducted,carries on the differential diagnosis prudently accurately,invites the expert to carry on the consultation more,thus reduces the misdiagnosis rate effectively.