CAJ | 학술논문

目的：探讨误诊为急性阑尾炎的病例特点，分析误诊原因，提出应对策略。方法：回顾性分析2010年1月-2014年7月笔者所在医院误诊为急性阑尾炎的46例手术患者的临床资料。结果：误诊病例以妇科疾病(39.13%)、回盲部疾病(28.26%)和末段小肠疾病(21.74%)最为常见；82.61%病例无典型阑尾炎表现；28.26%病例临床资料不完整，19.57%病例临床思维方面存在欠缺。结论：完善的临床资料和科学的临床思维可以减少误诊的发生。
목적：탐토오진위급성란미염적병례특점，분석오진원인，제출응대책략。방법：회고성분석2010년1월-2014년7월필자소재의원오진위급성란미염적46례수술환자적림상자료。결과：오진병례이부과질병(39.13%)、회맹부질병(28.26%)화말단소장질병(21.74%)최위상견；82.61%병례무전형란미염표현；28.26%병례림상자료불완정，19.57%병례림상사유방면존재흠결。결론：완선적림상자료화과학적림상사유가이감소오진적발생。
Objective:To investigate the characteristics of cases of misdiagnosed as acute appendicitis,analyze the causes of misdiagnosis,and propose appropriate countermeasures.Method:The clinical data of 46 cases of misdiagnosed as acute appendicitis from January 2010 to July 2014 were analyzed retrospectively.Result:Gynecological diseases (39.13%),ileocecal disease (28.26%) and ileal disease (21.74%) were the most common cases of misdiagnosed as acute appendicitis.82.61%of cases did not show the typical appendicitis.The clinical data of 28.26%cases was incomplete,and the clinical thinking of 19.57%cases was lack.Conclusion:The perfect clinical data and scientific clinical thinking can reduce the incidence of misdiagnosis.