基层医院急腹症误诊为阑尾炎的临床分析

Acute abdominal disease misdiagnosed appendicitis as clinical analysis in the basic level hospital

目的探讨基层医院急腹症误诊为阑尾炎的原因。方法回顾性分析我院2003年2月—2012年6月11例急腹症误诊为阑尾炎患者的临床资料。结果基层医院医生对阑尾炎的发病机制及鉴别诊断不够重视,对体格检查及辅助检查不够认真,常导致误诊,特别是无转移性右下腹疼痛急腹症误诊率更高。结论加强基层医院医生对鉴别诊断的掌握,并进行正规的体格检查和必要的辅助检查能大大降低误诊率。

Objective To investigate Acute abdominal disease misdiagnosed appendicitis of cause.in the basic level hospital.Methods Retrospecting and summarizing the 11 Acute abdominal disease misdiagnosed appendicitis from February 2003 to June 2012.Result For basic level hospital was not enough attention in the pathogenesis and differential diagmosis and was serious enough in the physical examination and auxiliary examination,No transfer of right lower quadrant pain was the hight rate of misdiagnosed.Conclusion Grasp differential diagnosis orthodox physical examination and essential auxiliary greatly reduce the rate of misdiagnosis.