论文部分内容阅读
为提高对Crohn病临床表现多样化的认识 ,本文介绍了 6例临床资料 ,其主要临床误诊情况为 :隐袭性不规则中、下腹痛被误诊为妇科疾患 ;长期排便不畅被误诊为习惯性便秘 ;发作性右下腹痛被误诊为阑尾炎 ;腹痛、腹泻与低热伴全身银屑病 ,吞咽痛被误诊为食道癌 ;腹痛、腹泻伴低热、脱发、闭经、皮肤红斑与肛门疾病等被误诊为红斑狼疮与溃疡性结肠炎 ;以及多被忽视的贫血与消瘦等。不典型临床表现的可能因素为 :⑴个体间免疫反应性的差异 ;⑵炎症侵犯部位不一 ;⑶有无局部或全身并发症 ;以及年龄及其它因素。重视不典型的腹痛与腹泻 ,以及被忽视的全身性表现 ,配合辅助检查 ,将有助于对不典型患者的及时诊断与发现。
To improve the understanding of the clinical manifestations of Crohn’s disease, this article describes the clinical data of 6 cases, the main clinical misdiagnosis as: irregular hernia, lower abdominal pain was misdiagnosed as gynecological diseases; long-term defecation was misdiagnosed as a habit Constipation; episodes of right lower quadrant pain were misdiagnosed as appendicitis; abdominal pain, diarrhea and hypothermia with systemic psoriasis, swallowing pain was misdiagnosed as esophageal cancer; abdominal pain, diarrhea with fever, hair loss, amenorrhea, skin erythema and anal diseases were misdiagnosed For lupus and ulcerative colitis; and more neglected anemia and weight loss and so on. The possible causes of atypical clinical manifestations are: (1) differences in immunoreactivity among individuals; (2) different sites of infringement of inflammation; (3) the presence or absence of local or systemic complications; and age and other factors. Atypical abdominal pain and diarrhea, as well as the neglected general performance, with the auxiliary examination, will help to prompt diagnosis and detection of atypical patients.