急腹症剖腹探查阴性26例的原因分析

Causes analysis of negative results of laparotomy in 26 cases of acute abdomen

目的:探讨急腹症剖腹探查结果阴性的原因,提出防范对策。方法:分析26例剖腹探查阴性患者术前的病史记录,找出每例患者探查阴性的原因并分类总结,对比分析探查结果阳性与阴性患者的白细胞计数、C反应蛋白、中性粒细胞比值水平。结果:探查结果阳性与阴性患者的白细胞计数、C反应蛋白、中性粒细胞比值水平间差异均无统计学意义(P>0.05)。探查阴性的主要原因在于术前病史询问和体格检查不详细,缺乏相关科室医师会诊及有针对性的辅助检查。结论:细致了解发病特点,系统全面体格检查,有针对性的辅助检查和严格的会诊制度是减少剖腹探查阴性风险的重要保障。

Objective：To analyze the causes of negative results in laparotomy of acute abdomen and to provide the preventive countermeasures.Methods：The medical records of 26 cases of laparotomy were analyzed to find out and classify the causes leading to negative results of laparotomy.White blood counts,C-reactive protein and ratio of neutrophils were compared and analyzed between negative and positive results of laporatomy.Results：There was no significant differences in white blood counts,C-reactive protein and ratio of neutrophils between negative and positive results of laporatomy（P0.05）.The main causes leading to negative results of laparotomy was undetailed disease history and physical examination,lack of consultation from related departments and pertinently accessory examination.Conclusion：Particular inquest,overall systematic physical examination,pertinently accessory examination and strict consultation system are important guarantee to reduce the negative results of laparotomy.