| 急性肠系膜血管供血不全的诊治及误诊分析 |
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| 引用本文： | 何琳,陈春雷,谢景泉,方寒柳,陈郁华. 急性肠系膜血管供血不全的诊治及误诊分析[J]. 中国误诊学杂志, 2004, 4(2): 192-194 |
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| 作者姓名： | 何琳 陈春雷 谢景泉 方寒柳 陈郁华 |
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| 作者单位： | 广东医学院第二附属医院普外科,广东,湛江,524003 |
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| 摘 要： | 目的 :探讨急性肠系膜血管供血不全的诊治及误诊原因。方法 :对收治的 11例临床资料进行回顾性分析。结果 :本组误诊为肠梗阻并急性腹膜炎 5例 ,胃肠急性穿孔 2例 ,急性胰腺炎 2例 ,误诊率 81.8% ,病死率为 6 3.3%。结论 :充分认识该病 ,早期诊断 ,减少误诊率 ,综合治疗是提高本病疗效的关键。
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| 关 键 词： | 肠系膜血管闭塞/诊断 肠系膜/血液供给 肠系膜血管闭塞/外科学 误诊 |
| 文章编号： | 1009-6647(2004)02-0192-03 |
| 修稿时间： | 2003-11-29 |
Analysis of Diagnosis,Treatment and Misdiagnosis of Acute Mesenteric Ischemia |
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| HE Lin,CHEN Chun-lei,XIE Jing-quan,et al.. Analysis of Diagnosis,Treatment and Misdiagnosis of Acute Mesenteric Ischemia[J]. Chinese Journal of Misdiagnostics, 2004, 4(2): 192-194 |
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| Authors: | HE Lin CHEN Chun-lei XIE Jing-quan et al. |
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| Abstract: | Objective:To study the diagnosis,treatment and the reasons of misdiagnosis of acute mesenteric ischemia.Methods:The clinical data of 11 cases of acute mesenteric ischemia diagnosed by both operatoin and pathology were analyzed retrospectively.Results:9 cases were misdiagnosed preoperatively as acute peritonitis of obstruction(5 cases),acute perforation of gastrointestin(2 cases),acute pancreatitis(2 cases).The midiagnosis rate was 81.8%.The mortality was 63.3%.Conclusion:A better comprehension of this disease,early diagnosis,lower misdiagnosis rate with comprehensive treatment and prompt treatment are the keys to management of the disease. |
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| Keywords: | Mesenteric vascular occlusion/diagnosis Mesentery/blood supply Mesenteric vascular occlusion/surgery Diagnostic errors |
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