CAJ | 학술논문

目的：本文探讨了胆石症误诊的原因，并分析其相关问题。方法通过对接诊的45例胆石症患者的临床资料进行总结性分析误诊情况，所有病例均发现阳性结石并经手术证实。结果其中45例患者误诊为慢性胃炎者15例，胃十二指肠溃疡12例，冠心病、心绞痛和心律失常共9例，慢性肝炎4例，肋间神经痛2例，其它3例。结论尽管不典型病例早期误诊率较高，但是详细追问病史，认真查体，全面分析，充分利用现代检查手段，辩证分析各项检查结果，降低胆石症的误诊率是可能的。
목적：본문탐토료담석증오진적원인，병분석기상관문제。방법통과대접진적45례담석증환자적림상자료진행총결성분석오진정황，소유병례균발현양성결석병경수술증실。결과기중45례환자오진위만성위염자15례，위십이지장궤양12례，관심병、심교통화심률실상공9례，만성간염4례，륵간신경통2례，기타3례。결론진관불전형병례조기오진솔교고，단시상세추문병사，인진사체，전면분석，충분이용현대검사수단，변증분석각항검사결과，강저담석증적오진솔시가능적。
Objective This paper discussed the reason of misdiagnosis of cholelithiasis,and analyzed the related problems. Methods Through summary analysis of the clinical data of 45 patients with cholelithiasis misdiagnosis,positive cingculus were found and confirmed by surgery. Results There were 45 cases,15 were misdiagnosed as chronic gastritis,12 were gastroduodenal ulcer,9 were coronary heart disease,angina pectoris or arrhythmia,4 were chronic hepatitis,2 were intercostals neuralgia,and 3 cases were other diseases. Conclusion Although atypical cases of early misdiagnosis rate is high,complete history and physical examination, modern inspection method and dialectical analysis of the test results will possibly lower thecholelithiasis misdiagnosis rate.