急性重症胰腺炎误诊64例分析与对策

Analysis and countermeasure of misdiagnosis of 64 cases of severe acute pancreatitis

目的:探讨急性重症胰腺炎误诊的原因和相关的对策。方法:收治发生误诊的急性重症胰腺炎患者64例,对他们的临床资料进行回顾性分析。结果:64例误诊病例经过上腹部CT或剖腹探查发现12例患者胰腺肿大或局部坏死,53例患者的胰腺大部坏死,35例患者的胰周组织出血坏死。64例误诊病例通过抢救48例成活,16例死亡。结论:采取恰当的措施可避免急性胰腺炎患者被误诊并提高抢救的成功率。

Objective:To explore the causes and relevant counter measures of misdiagnosis of acute severe pancreatitis.Methods:64 patients with misdiagnosis of acute severe pancreatitis were selected.We retrospectively analyzed their clinical datas.Results:In 64 cases of misdiagnosis,we used upper abdominal CT or exploratory laparotomy revealed that:12 patients with pancreatic enlargement or local necrosis,53 cases with large pancreatic necrosis,35 patients with peripancreatic tissue necrosis and hemorrhage.In 64 cases of misdiagnosis,after we rescue efforts,48 cases were survived,16 cases were died.Conclusion:We can prevent misdiagnosis of acute pancreatitis patients and improve the success rate of rescue through take the appropriate measures.