32例急性腹泻误诊分析及随访

Misdiagnosis analysis and follow-up of 32 cases with acute diarrhea

目的探讨肠道门诊急性腹泻病人常见误诊原因及临床特点。方法对2008年5月1日至2011年10月31日肠道门诊32例以急性腹泻为首发症状的患者的误诊情况、临床表现、治疗及转归进行回顾性分析。结果本组误诊比例最高的是急性阑尾炎9例,依次为溃疡性结肠炎6例,药物相关性腹泻5例,结直肠癌5例,以及宫外孕、急性下壁心梗、急性胰腺炎、肾结石、缺血性肠病。所有病人经确诊后均治愈或好转。结论熟悉引起急性腹泻的各种疾病的临床特点,掌握科学的思维方法对于减少误诊具有重要意义。

Objective To investigate the misdiagnosis reasons and clinical characteristics of acute diarrhea in out-patient department. Methods The rnisdiagnosis reasons,manifestations, treatments and outcome were retrospectively analyzed in 32 cases with acute diarrhea enrolled in our clinic from May 1,2008 to October 31,2011. Results Nine cases with acute appendicitis were misdiagnosed,and the rate of misdiagnosis was highest. And six cases with ulcerative colitis, five cases with drug-related diarrhea, five cases with colorectal cancer were misdiagnosed. Besides, ec-topic pregnancy, acute inferior myocardial infarction, acute pancreatitis, kidney stone, ischemic en-teropathy were involved. All of them were cured or improved. Conclusion There is significance to be familiar with all kinds of diseases causing the acute diarrhea and grasp the scientific method.