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文献报告急性胰腺炎约占外科住院病例的1.2％。可见胰腺炎并非罕见。但由于有的临床医生常不考虑胰腺疾病的可能,同时胰腺炎的诊断还存在着一定的困难,因此本病常被忽视,易发生漏诊或误诊。我们在临床工作中,曾将10例胰腺炎诊断为溃疡病急性发作或并发穿孔,或为胆道疾病等,于入院纪录中,没有提及胰腺疾患的可疑和可能,经手术后方恍然大悟。临床医生如果对胰腺疾病予以适当的重视,并应用各种诊断技术,还是可以更多地及更早地诊断胰腺炎的,兹将我们对胰腺炎的错诊病例,结合复习文献,加以分析讨论,以探讨错误诊断的原因,提高对胰腺炎的诊疗水平。
Acute pancreatitis reported in the literature accounts for about 1.2% of surgical inpatients. Pancreatitis is not uncommon. However, because some clinicians often do not consider the possibility of pancreatic disease, while the diagnosis of pancreatitis there are still some difficulties, so the disease is often overlooked, prone to missed diagnosis or misdiagnosis. In clinical work, we have diagnosed 10 cases of pancreatitis as acute attack of ulcer disease or concurrent perforation, or biliary disease, etc., in the admission record, did not mention the suspicious and possible pancreatic disease, after the operation suddenly realized. If clinicians give proper attention to pancreatic diseases and apply various diagnostic techniques, or can diagnose pancreatitis more and earlier, we will analyze and discuss the misdiagnosed cases of pancreatitis with reviewing the literature To explore the causes of misdiagnosis and improve the diagnosis and treatment of pancreatitis.