克罗恩病误诊分析及防范措施  

Misdiagnostic Analysis and Preventive Countermeasure of Crohn′s Disease

作　　者：徐樨巍[1] 申芳娥[1] 王惠玲[1] 高萍芝[1] 董丽娟[1] 

机构地区：[1]首都医科大学附属北京儿童医院内科,北京100045

出　　处：《实用儿科临床杂志》2006年第7期420-421,共2页Journal of Applied Clinical Pediatrics

摘　　要：目的分析克罗恩病(CD)误诊原因,探讨对本病误诊的防止对策。方法总结28例误诊病例临床表现,行C反应蛋白(CRP)、血沉(ESR)、血清蛋白测定等实验室检查,并进行消化道造影、结肠镜、B超、胃镜检查,分析CD误诊原因及后果。结果误诊的原因为:1.CD涉及胃肠道多部位及全身多系统,致使临床表现多样化,且临床表现又缺乏特异性;2.对本病认识不足,警惕性不高;3.询问病史及体格检查不够细致。结论提高对CD的认识,综合分析是减少CD误诊率的关键。Objective To evaluate the factors causing misdiagnosis of Crohn＇s disease（CD） and study its preventive eountermessure. Methods Twenty-eight patients with CD were studied. All their elinical manifestations, endoscopic and laboratory test resulus of the misdiagnosis were collected and analyzed. Results Factors causing misdiagnosis were： 1. diverse clinical presentations of the disease;2, insufficient understanding and attention of the disease; 3. no detailed disease history and physical examinations. Conclusion A thourongh understanding and overall analysis on CD are the key to reduce the incidence of misdiagnosis of the disease.

关 键 词：克罗恩病 误诊 儿童 

分 类 号：R725.7[医药卫生—儿科]