伴腹痛急性主动脉夹层误诊分析 |
| |
引用本文: | 杨吉乡,张戬.伴腹痛急性主动脉夹层误诊分析[J].中国当代医药,2011,18(1):137-138. |
| |
作者姓名: | 杨吉乡 张戬 |
| |
作者单位: | 暨南大学第二临床医学院&深圳市人民医院急诊科,广东深圳,518020 |
| |
摘 要: | 目的:探讨伴腹痛急性主动脉夹层(AAD)的误诊原因及早期诊断策略。方法:回顾性分析21例伴腹痛AAD误诊患者的临床资料。结果:首诊确诊8例,误诊13例(61.9%),其中误诊为胰腺炎7例。治愈18例,死亡3例。结论:伴腹痛AAD缺乏特异性的临床表现、容易误诊。临床医师应加强对本病的认识,结合实验室检查及影像学检查,可提高诊断率。
|
关 键 词: | 主动脉夹层 急腹症 误诊 诊断 |
Misdiagnosis analysis of acute aortic dissection(AAD) with abdominal pain |
| |
Authors: | YANG Jixiang ZHANG Jian |
| |
Institution: | (Department of Emergency,The Second Clinical Medical School of Jinan University & Shenzhen People’s Hospital,Guangdong Province,Shenzhen 518020,China) |
| |
Abstract: | Objective:To explore the causes of misdiagnosis and early diagnostic strategy for acute aortic dissection(AAD) with abdominal pain.Methods:The clinical data of 21 cases AAD patients with abdominal pain were analyzed retrospectively.Results:8 cases were diagnosed in first visiting.13 cases were misdiagnosed including 7 cases were misdiagosed as pancreatitis.18 cases were cured and 3 cases died.Conclusion:The AAD with abdominal pain lack specificity clinical manifestation,misdiagnosed easily.Clinician should strengthen understanding to the disease.Combining clinical manifestation with laboratory examination and the image findings may enhance the diagnosis rate. |
| |
Keywords: | Aortic dissection Acute abdomen Misdiagnosis Diagnosis |
本文献已被 CNKI 维普 万方数据 等数据库收录! |
|