膈下游离气体误诊为上消化道穿孔1例分析  

Analysis of misdiagnosis of subphrenic free gas case into upper gastrointestinal perforation in 1 case

作　　者：秦博 

机构地区：[1]山西省中西医结合医院普外科,030013

出　　处：《中国实用医药》2017年第18期138-139,共2页China Practical Medicine

摘　　要：目的分析膈下游离气体误诊为上消化道穿孔的原因,进一步提高诊断的准确性。方法回顾分析1例腹部立位平片提示膈下游离气体,并经腹腔镜探查为误诊患者的临床资料。结果患者经术中胰腺坏死组织清除和腹腔引流,术后抗感染、补液治疗后痊愈出院。结论膈下游离气体不是诊断上消化道穿孔的唯一标准,要充分认识膈下游离气体的病因和鉴别诊断,避免误诊。Objective To analyze the reason of misdiagnosis of subphrenic free gas case into upper gastrointestinal perforation, so as to further improve the accuracy of the diagnosis. Methods Retrospectively analysis was made on clinical data of 1 subphrenic free gas case suggested by abdominal vertical position radiograph, and verified by laparoscopic exploration as misdiagnosis. Results Patients get discharged after treatment of intraoperative pancreatic necrotic tissue removal and abdominal drainage, postoperative antiinfection, rehydration. Conclusion Subphrenic free gas case is not the only criterion for the diagnosis of upper gastrointestinal perforation. Fully understand should be made on etiology and differential diagnosis of free gas under the diaphragm, so as to avoid misdiagnosis.

关 键 词：膈下游离气体 胰腺炎 上消化道穿孔 误诊 

分 类 号：R656[医药卫生—外科学]