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目的:妇科急腹症和急性阑尾炎在临床表现上有很多相似之处,加上2种疾病都属于临床上的常见病,通过临床分析找到杜绝误诊的方法。方法:2000年至今从外科被误诊为急性阑尾炎并实施手术的患者25例,进行回顾性分析。结果:主要有输卵管妊娠(流产型或破裂型)右侧或输卵管卵巢炎症、囊肿扭转或破裂易被误诊为阑尾炎。结论:详细询问病史,及对其进行全身体检及动态检查,并对检查结果及临床症状进行综合分析,以提高诊断的正确率,减少漏诊和误诊。
OBJECTIVE: There are many similarities in the clinical manifestations between acute abdomen and acute appendicitis. Coupled with these two diseases are all common clinical diseases, to find out ways to prevent misdiagnosis through clinical analysis. Methods: From 2000 to now, 25 cases of patients with acute appendicitis who were misdiagnosed as surgical and surgical operations were retrospectively analyzed. Results: The main tubal pregnancy (abortion or rupture type) or tubal ovarian inflammation, cyst torsion or rupture easily misdiagnosed as appendicitis. CONCLUSIONS: The medical history was inquired in detail and the whole body physical examination and dynamic examination were performed. The results of the examination and clinical symptoms were analyzed comprehensively to improve the accuracy of diagnosis and reduce the missed diagnosis and misdiagnosis.