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目的探讨腹主动脉瘤误诊肾绞痛的原因,早期诊疗方法。提高临床认知重视程度。方法回顾性分析以肾绞痛表现的腹主动脉瘤3例临床资料,结合国内外文献探讨腹主动脉瘤引起肾绞痛的原因及早期确诊方法。结果本组3例患者,一例确诊2d后腹主动脉瘤破裂死亡,2例积极手术痊愈。结论早期行腹部CT、彩超检查有利于确诊,腹主动脉瘤误诊肾绞痛危害大。
Objective To investigate the causes of misdiagnosis of renal colic in abdominal aortic aneurysms and early diagnosis and treatment. Improve the degree of clinical awareness. Methods The clinical data of 3 cases of abdominal aortic aneurysm with renal colic were retrospectively analyzed. The causes and early diagnosis of renal colic caused by abdominal aortic aneurysm were analyzed. Results In this group of 3 patients, one case died of abdominal aortic aneurysm rupture after 2 days of diagnosis, and 2 cases recovered actively. Conclusion Early abdominal CT, color Doppler ultrasound examination is conducive to diagnosis, abdominal aortic aneurysm misdiagnosed renal colic hazards.