急性腹痛误诊原因分析

目的：探讨急性腹痛误诊的原因。方法：选取2006年1月至2008年1月间我院收治且曾被误诊的以腹痛为首发症状的患者60例,总结分析误诊情况、治疗及转归。结果：本组误诊比率最高的是夹层动脉瘤10例（16.67%）,依次为食管裂孔疝8例（13.33%）,糖尿病酮症酸中毒8例（13.33%）,急性心肌梗死6例（10.00%）,大叶性肺炎6例（10.00%）等。本组确诊后保守治疗46例,手术或介入治疗14例,均治愈出院。结论：熟悉引起急性腹痛的各种疾病的临床特点,掌握诊断处理措施具有重要的意义。

Analysing the Misdiagnosis Reasons of Acute Abdominal Pain

Objective： To investigate the cases with acute abdominal pain from January misdiagnosis reasons of acute abdominal pain. in 2006 to January in 2008 were selected, the Method： 60 misdiagnosis reasons, treatments and turnover were analyzed. Result： 10（ 16.67% ）cases with dissecting aneurysm were misdiagnosed, and the rate of misdiagnosis was highest. And 8 cases（ 13.33% ） with hiatus hernia, 8 cases （13.33%） with diabetic ketoacidosis, 6 cases（ 10.00% ） with acute myocardial infarction and 6 cases（ 10. 00%） with lobar pneumonia were misdiagnosed. There were 46 cases with conservation treatment and 14 cases with operation or interventional therapy, and all of them were cured. Conclusion： There is significance to be familiar with all kinds of diseases causing the acute abdominal pain and grasp the measures of diagnosis and treatment.