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全内脏转位急腹症病人临床少见,腹痛部位与正常人有很大差异,诊断较为困难。笔者将遇到的4例病例,结合有关文献分析报道如下。 1 临床资料 1.1 一般资料 男性1例、女性3例。年龄24～48岁。入院前病程2d～6个月,均以外科急腹症入院,并进行了急诊手术。 1.2 手术前后诊断 本组4例仅1例术前与术后诊断相符,余3例均误诊,误诊率高达75％。 1.3 典型病例 女,24岁,左下腹肿块伴腹痛2个月,突发性腹痛1d。体检:急性病容,即10.5/5.15KPa,全
A total of visceral metastases acute abdomen clinical rare patients, abdominal pain and normal people have very different parts, the diagnosis is more difficult. The author will encounter 4 cases, combined with the relevant literature analysis reported below. 1 Clinical data 1.1 General Information 1 male and 3 female. Age 24 to 48 years old. Pre-admission course of 2d ~ 6 months, were hospitalized with acute abdomen and emergency surgery. 1.2 Preoperative and postoperative diagnosis of 4 cases in this group only 1 case of preoperative and postoperative diagnosis consistent with the remaining 3 cases were misdiagnosed, the misdiagnosis rate as high as 75%. 1.3 typical female, 24 years old, left lower quadrant abdominal pain with 2 months, sudden abdominal pain 1d. Physical examination: acute disease, that is 10.5 / 5.15KPa, all