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急性肠系膜血管供血不全的诊治及误诊分析

Analysis of Diagnosis,Treatment and Misdiagnosis of Acute Mesenteric Ischemia

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【作者】 何琳陈春雷谢景泉方寒柳陈郁华

【Author】 HE Lin,CHEN Chun-lei,XIE Jing-quan,et al. (Department of Surgerg,The Second Affiliated Hospital of Guangdong Medical College,Zhanjiang 524003,China)

【机构】 广东医学院第二附属医院普外科广东医学院第二附属医院普外科 广东湛江524003广东湛江524003广东湛江524003

【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。

【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.

  • 【文献出处】 中国误诊学杂志 ,Chinese Journal of Misdiagnostics , 编辑部邮箱 ,2004年02期
  • 【分类号】R657.2
  • 【被引频次】5
  • 【下载频次】38
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