伴有腹泻症状的急性阑尾炎误诊原因分析

Analysis on causes for misdiagnosis of acute appendicitis accompanied with diarrhea

目的分析以腹泻为首要症状的急性阑尾炎的误诊原因及预防。方法总结我院自1999～2007年肠道门诊12例急性阑尾炎误诊为感染性腹泻的原因。结果通过我院肠道门诊的就诊病例分析,急性阑尾炎首发症状为腹泻的病例12例,被误诊为感染性腹泻。询问病史不详细、体格检查不仔细,没有综合患者的症状、体征及辅助检查全面分析作出正确的临床诊断,片面认为首发症状为腹泻的病例确诊为感染性腹泻,以至于急性阑尾炎均因腹泻为首要症状而误诊。结论询问病史及体格检查不详细和临床经验欠缺是急性阑尾炎误诊为感染性腹泻的主要原因。

Objective To analyze the causes for misdiagnosis of acute appendicitis accompanied with diarrhea and its prevention. Methods The clinical data of 12 outpatients with acute appendicitis misdiagnosed as infectious diarrhea in the hospital attached to Hefei University of Technology during 1999 - 2007 were retrospectively reviewed and analyzed. Results The main clinical symptom of 12 cases of acute appendicitis was diarrhea which led to misdiagnosis. Conclusion The lack of detailed inquiry in medical history, physical examination and clinical experience is the main reason for misdiagnosis of acute appendicitis as diarrhea.