腹部外科
腹部外科
복부외과
JOURNAL OF ABDOMINAL SURGERY
2015年
1期
68-71
,共4页
阑尾炎%阑尾切除术%误诊%诊断%治疗
闌尾炎%闌尾切除術%誤診%診斷%治療
란미염%란미절제술%오진%진단%치료
Appendicitis%Appendectomy%Misdiagnosis%Diagnosis%Treatment
疑似急性阑尾炎通常因临床表现不典型而有着较高的误诊误治率。如何减少该病的阴性手术率并控制阑尾穿孔率是目前临床研究的热点。全面的病史搜集、反复细致的体格检查及选择性的实验室或影像学检查有助于提高疑似急性阑尾炎诊断的准确率。疑似病例一旦确诊为急性阑尾炎,在抗生素治疗无效时,及时的阑尾切除术常常是获益的。
疑似急性闌尾炎通常因臨床錶現不典型而有著較高的誤診誤治率。如何減少該病的陰性手術率併控製闌尾穿孔率是目前臨床研究的熱點。全麵的病史搜集、反複細緻的體格檢查及選擇性的實驗室或影像學檢查有助于提高疑似急性闌尾炎診斷的準確率。疑似病例一旦確診為急性闌尾炎,在抗生素治療無效時,及時的闌尾切除術常常是穫益的。
의사급성란미염통상인림상표현불전형이유착교고적오진오치솔。여하감소해병적음성수술솔병공제란미천공솔시목전림상연구적열점。전면적병사수집、반복세치적체격검사급선택성적실험실혹영상학검사유조우제고의사급성란미염진단적준학솔。의사병례일단학진위급성란미염,재항생소치료무효시,급시적란미절제술상상시획익적。
Suspected appendicitis often have high rates of misdiagnosis and mistreatment be-cause of non-typical clinical manifestations.It is currently hotly debated as to how surgeons reduce the rate of negative appendectomy and lower the possibility of appendix perforation.Comprehensive histo-ry-taking,detailed & thorough physical examinations and selective laboratory or radiological examina-tions may improve the diagnostic accuracy of suspected acute appendicitis.Once a definite diagnosis is made,timely appendectomy is normally recommended when antibiotic therapy is ineffective.