45例胆石症误诊原因分析  

Reason Analysis of the 45 Cases of Cholelithiasis Misdiagnosis

作　　者：张正理[1] 任戈[1] 王化明[1] 

机构地区：[1]西北农林科技大学医院,陕西杨凌712100

出　　处：《哈尔滨医药》2015年第4期262-264,共3页Harbin Medical Journal

摘　　要：目的本文探讨了胆石症误诊的原因,并分析其相关问题。方法通过对接诊的45例胆石症患者的临床资料进行总结性分析误诊情况,所有病例均发现阳性结石并经手术证实。结果其中45例患者误诊为慢性胃炎者15例,胃十二指肠溃疡12例,冠心病、心绞痛和心律失常共9例,慢性肝炎4例,肋间神经痛2例,其它3例。结论尽管不典型病例早期误诊率较高,但是详细追问病史,认真查体,全面分析,充分利用现代检查手段,辩证分析各项检查结果,降低胆石症的误诊率是可能的。Objective This paper discussed the reason of misdiagnosis of cholelithiasis,and analyzed the related problems. Methods Through summary analysis of the clinical data of 45 patients with cholelithiasis misdiagnosis,positive cingculus were found and confirmed by surgery. Results There were 45 cases,15 were misdiagnosed as chronic gastritis,12 were gastroduodenal ulcer,9 were coronary heart disease,angina pectoris or arrhythmia,4 were chronic hepatitis,2 were intercostals neuralgia,and 3 cases were other diseases. Conclusion Although atypical cases of early misdiagnosis rate is high,complete history and physical examination, modern inspection method and dialectical analysis of the test results will possibly lower thecholelithiasis misdiagnosis rate.

关 键 词：胆石症 误诊 原因分析 

分 类 号：R575.6[医药卫生—消化系统]