胸腹联合伤漏误诊分析

Analysis of missed diagnosis and misdiagnosis in thoraco-abdominal injury

目的分析胸腹联合伤的漏、误诊原因。方法回顾1993年5月～2005年5月间收治的7例胸腹联合伤漏、误诊病人,分析术前、术中造成漏、误诊过程。结果本组7例漏诊、误诊病例,主要原因为对胸腹联合伤警惕性不高、满足于胸部或腹部的单一诊断,同时对本病认识不足1例,缺乏合理的辅助检查1例,术中未仔细探查膈肌2例,对饱食后高位胸部刀刺伤可致胃、膈肌破裂认识不足2例。结论提高认识、完善检查、术中仔细探查是避免漏、误诊的关键。

Objective To analysis the reason of missed diagnosis and misdiagnosis in thoraco-abdominal injury. Methods Seven cases withthoraco-abdominal injury were studied retrospective in the diagnosis and operation processes ,in order to find the cause of the missed diagnosisand misdiagnosis during pre-and post-operation. Results The main reason in missed diagnosis and misdiagnosis were less attention to thoraco-abdominal injury and not enough recognized being either thorax or abdomen injury in 7 cases, with not enough understand 1 case,lack of properexamination 1 case,no explore diaphragm 2 cases, and not enough recognized in stomach and diaphragm injury caused stabbing lying in higherthorax after enough meal 2 cases. Conclusions The key to avoiding missed diagnosis and misdiagnosis need to pay full attention to this kind ofdisease ,proper examination and careful explore during operation.