30例不典型胰腺炎的早发现及临床诊疗

30 cases of atypical early detection and clinical diagnosis and treatment of pancreatitis

目的分析不典型胰腺炎临床诊疗情况及误诊原因,提出有效的诊疗措施。方法选择2011年6月—2012年9月在该院收治的30例不典型胰腺炎患者作为本次研究对象,对患者临床诊疗资料进行回顾性分析。结果不典型胰腺炎患者中,以老年患者为主,占63.3%;通过后期诊断和治疗后,痊愈15例,好转12例,转院3例,总治愈率为90%。结论由于不典型胰腺炎多发于老年人群,临床症状不典型,误诊率较高。因此,必须引起医务人员的高度重视,采取有效的误诊预防措施,以避免误诊现象的产生,提高不典型胰腺炎的确诊率,为患者早期发现及临床诊疗提供重要依据。

Objective To analyze atypical pancreatitis clinical diagnosis and treatment of conditions and misdiagnosis,proposed effective diagnosis and treatment measures.Method Select from June 2011 to September 2012 in our hospital 30 cases of atypical pancreatitis patients as the research object,retrospective analysis of patients with the clinical diagnosis and treatment information.Results Atypical pancreatitis patients,mainly elderly patients,accounting for 63.3%;by late diagnosis and treatment,cured 15 cases,12 cases improved,transferred 3 cases,The total cure rate was 90%.Conclusion Not typical pancreatitis occur in the elderly population,clinical symptoms are not typical,the higher rate of misdiagnosis.Therefore,it must be caused by the high degree of attention of the medical staff,take effective misdiagnosed precautions,to avoid misdiagnosis generated,improve the rate of diagnosis of atypical pancreatitis,provide an important basis for the early detection of patients and clinical diagnosis and treatment.