| 摘要: |
| ［摘要］ 目的 分析急腹症误诊为胃肠炎的影响因素与解决方法，以期提高诊断准确率。方法 选择该院2015-09～2016-09就诊的200例急腹症患者进行研究，其中16例误诊为胃肠炎。根据患者的临床表现以及检查情况，探讨误诊为胃肠炎的原因，并提出合理解决对策。结果 200例中16例（8.00%）误诊为胃肠炎，分别为急性阑尾炎6例，肠梗阻3例，消化道穿孔4例，胆囊结石并胆囊炎2例，宫外孕1例。在16例误诊者中，误诊原因为症状相似7例，病史描述不全3例，查体不仔细1例，病情分析缺乏全面性5例。16例误诊者经手术治疗后，病情显著改善，平均住院时间为（8±2）d。结论 大部分急腹症患者发病初期有腹痛、腹泻、呕吐等症状，若查体、病史询问不到位，则会误诊。 |
| 关键词: 胃肠炎 急腹症 误诊 对策 |
| DOI：10.3969/j.issn.1674-3806.2017.11.22 |
| 分类号:R 656.1 |
| 基金项目: |
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| Acute abdominal diseases misdiagnosed as gastroenteritis and the countermeasures |
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MA Jian-qiang
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Department of Emergency, Central Hospital of Chancheng District in Foshan City, Guangdong 528000, China
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| Abstract: |
| ［Abstract］ Objective To analyze the influencing factors and solutions of acute abdominal diseases misdiagnosed as gastroenteritis, and to improve the accuracy of diagnosis.Methods 200 patients with acute abdominal diseases were studied in whom 16 cases were misdiagnosed as gastroenteritis. According to the clinical manifestations and detection results, the causes of misdiagnosis were investigated, and the reasonable countermeasures were put forward.Results A total of 16 cases(8.00%) were misdiagnosed as gastroenteritis, including acute appendicitis in 6 cases, intestinal obstruction in 3 cases, gastrointestinal perforation in 4 cases, gallbladder stone and cholecystitis in 2 cases and ectopic pregnancy in 1 case. Among the 16 cases of misdiagnosis, the causes of misdiagnosis included similar symptoms in 7 cases, incomplete history description in 3 cases, careless physical examination in 1 case, and incomprehensive analysis of the disease in 5 cases. Significant improvement was found in all 16 cases after surgery, and the average length of hospital stay was (8±2) d.Conclusion Most of the patients with acute abdominal diseases have symptoms such as abdominal pain, diarrhea and vomiting. Careless physical examination and incomplete consultation of medical history may cause misdiagnosis. |
| Key words: Gastroenteritis Acute abdominal diseases Misdiagnosis Countermeasures |
