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我院收治外科急腹症16例,术前均误诊为阑尾炎,教训深刻,现分析如下。 溃疡穿孔6例:因患者无阳性溃疡病史,忽略了胸腹透视,未作腹腔穿刺,而将突然发生的上腹延及右腹痛之溃疡病穿孔误诊为阑尾炎探查,其中5例在夜间。 输卵管妊娠2例:右下腹痛2～4日,突变剧痛迅及满腹,虽皆育龄妇女,因未详询停经史,尤其已做“女扎”之患者未做必要的B超、腹腔穿刺等辅助检查,而误诊为急性阑尾炎穿孔并发腹膜炎。
16 cases of surgical acute abdomen admitted to our hospital, preoperative misdiagnosed as appendicitis, lessons learned, are analyzed as follows. 6 cases of ulcer perforation: Because patients had no history of positive ulcer, ignoring the chest and abdomen fluoroscopy, did not make abdominal puncture, and the sudden onset of upper abdominal pain and abdominal pain of ulcer disease perforation misdiagnosed as appendicitis, of which 5 cases at night. Tubal pregnancy in 2 cases: right lower quadrant pain 2 to 4 days, the sudden dramatic pain and full of abdomen, although all women of childbearing age, because there is no detailed history of menopause, especially those who have done “female bar” did not make the necessary B-, abdominal puncture Auxiliary examination, while misdiagnosed as acute appendicitis perforation complicated by peritonitis.