胰腺炎的漏误诊分析

Analysis on missed diagnosis and misdiagnosis of pancreatitis

目的：总结急性胰腺炎的漏诊和误诊的情况以及其原因,以提高对急性胰腺炎的诊治水平。方法：收集我院急诊科2004年1月~2010年12月急性胰腺炎135例患者的资料,对其漏诊和误诊情况进行回顾性统计分析。结果：135例急性胰腺炎中漏诊5例,漏诊率为3.7%,误诊22例,误诊率为16.3%,总漏误诊率为20.0%。结论：对急性胰腺炎缺乏典型症状和体征的病例,应利用辅助检查,密切动态观察病情变化,尽早明确诊断,及时治疗,尽量避免漏诊和误诊。

Objective：To summarize the situation and reasons of missed diagnosis and misdiagnosis of acute pancreatitis to enhance its diagnostic and therapeutic level.Methods：The data of 135 cases of acute pancreatitis were collected and retrospectively and statistically analyzed on the status of missed diagnosis and misdiagnosis.Results：5 cases were missed diagnosis（3.7%） and 22 cases were misdiagnosis（16.3%）.The total rate of missed diagnosis and misdiagnosis was 20.0%.Conclusion：For the cases of acute pancreatitis lacking typical symptoms and signs,should use auxiliary examinations and closely observe the change of disease condition,clarify the diagnosis as early as possible and treat in time to avoid misdiagnosis and missed diagnosis.