隐匿性脾破裂11例漏诊原因分析  

Analyses of the reasons of 11 erroneous diagnosis of latent rupture of spleen

作　　者：赵学忠[1] 冯青[1] 陈立[1] 雷昌合[1] 

机构地区：[1]延安大学医学院附属医院创伤科,陕西延安716000

出　　处：《延安大学学报（自然科学版）》2001年第2期86-87,共2页Journal of Yan'an University：Natural Science Edition

摘　　要：目的 :探讨隐匿性脾破裂早期最佳诊断方法 ,减少和避免漏诊 .方法 :通过对 43例脾破裂中 1 1例隐匿性脾破裂漏诊原因分析 ,总结经验教训 .结果 :1 1例隐匿性脾破裂均得到准确诊断和及时治疗 .结论 :为了减少和避免漏诊 ,医生应详细询问病史 ,仔细认真查体 ,严密观察病情 .对高动能因子致伤的患者应常规行腹部 B超检查 .Objective:To study the best way of early examination about latent rupture of spleen, in order to reduce or avoid the erroneous diagnosis.Metheod:Summarizing the experiences and drawing the lessons from the analyses of the reason of 11 erroneous diagnostic of 43 rupture of spleen.Result:The 11 rupture of spleen patients were examined correctly and were well cured.Conclusion:In order to reduce or avoid the kind of erroneous diagnosis, doctors should inquire about the history in detail, and exam their bodies in a correct and all round way and keep close watch over. And the patients injured by high energy factors should be made common examination through abdominal B us.

关 键 词：脾破裂 创伤 高动能因子 B超 

分 类 号：R657.6+2[医药卫生—外科学]