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黄疸是一个常见症状,它涉及临床很多疾病。病情复杂,往往造成诊断和治疗的延误,甚至导致不良后果。为了进一步提高诊断准确率,现结合我院近年来21例黄疸误诊病例作一分析,并讨论鉴别诊断。临床资料本组21例,男19例。女2例。最小年龄8岁,最大年龄52年,多为青壮年。21例均有不同程度的黄疸、乏力、胃纳差,伴有上腹疼痛或不适。入院均误诊为“急性肝炎”或其它疾病。经住院短期观察治疗(10例),肝穿刺细胞学检查(4例),剖腹探查(7例),病理检查(3例)等,纠正了诊断。
Jaundice is a common symptom that involves many clinical conditions. Complex conditions often result in delays in diagnosis and treatment, and even lead to adverse consequences. In order to further improve the diagnostic accuracy, combined with our hospital in recent years, 21 cases of jaundice misdiagnosed cases for an analysis and to discuss the differential diagnosis. Clinical data The group of 21 cases, 19 males. Female 2 cases. The youngest age of 8 years old, the maximum age of 52 years, mostly young adults. All 21 patients had different degrees of jaundice, fatigue, poor appetite and pain or discomfort of the upper abdomen. Admitted to misdiagnosed as “acute hepatitis” or other diseases. Short-term observation of hospital treatment (10 cases), liver biopsy cytology (4 cases), laparotomy (7 cases), pathological examination (3 cases), to correct the diagnosis.