期刊文献+

肠阿米巴病113例误诊原因分析 被引量:5

Analysis of Misdiagnosis Cause of Intestinal Amebiasis(A Report of 113 Cases)
下载PDF
导出
摘要 目的分析肠阿米巴病的临床特点及误诊原因,降低误诊率。方法 对我院收治113例肠阿米巴病误诊情况进行回顾性分析。本组主要症状为腹泻、腹痛、黏液血便、果酱样大便,急性期7例,慢性期106例,病程5 d~16年。结果本组均误诊,其中误诊为溃疡性结肠炎103例,慢性肠炎6例,细菌性痢疾4例。通过多次便常规及原虫显微镜检查,113例均检出溶组织内阿米巴滋养体或包囊,确诊为肠阿米巴病,予以中西医结合治疗。随访3个月,102例治愈。结论肠阿米巴病与溃疡性结肠炎、慢性肠炎等临床表现相似,临床医师应增强对本病的认识,对慢性腹泻患者应常规行粪便原虫检查,以避免误诊。 Objective To analyze the clinical characteristics and misdiagnosis cause of intestinal amebiasis to reduce misdiagnosis rate. MethodsThe misdiagnosis of 113 patients with intestinal amebiasis was retrospectively analyzed Diarrhea,abdominal pain,mucus bloody feces,and fruit jam-like stools were the main symptoms in all patients.There were 7 cases in acute phase,and 106 in chronic phase.Pathogenesis was 5d to16 years. ResultsAll patients were misdiagnosed,among whom,103 were misdiagnosed as ulcerative colitis,6 cases as chronic enteritis,and 4 cases as bacillary dysentery.Amoeba trophozoite and cyst were found in dissolved issues in feces by normal test and microscopy,and 113 cases were diagnosed as intestinal amebiasis and received integrated TCM-WM therapy.102 cases were cured during a 3-month follow up. ConclusionIntestinal amebiasis has similar clinical manifestation with ulcerative colitis,and clinicians shall avoid misdiagnosis by strengthening cognition and taking normal faces examination for patients with chronic diarrhea.
出处 《临床误诊误治》 2011年第3期69-70,共2页 Clinical Misdiagnosis & Mistherapy
基金 郑州市创新型科技人才队伍建设工程(096SYJH33113)
关键词 痢疾 阿米巴 误诊 结肠炎 溃疡性 肠炎 痢疾 杆菌性 Dysentery ameba Misdiagnosis Colitis ulcerated Enteritis Dysentery microbacillary
  • 相关文献

参考文献1

二级参考文献2

共引文献1

同被引文献65

引证文献5

二级引证文献21

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部