摘要
<正>急性阑尾炎是临床常见且易发生误诊误治的急腹症,并可进一步导致阑尾穿孔、腹膜炎、化脓性门静脉炎、脓毒症等并发症,危及患者生命,临床医师需尽快确诊,尽早处置。本院近期接诊1例急性坏疽性阑尾炎患者,但该患病初误诊为急性胰腺炎,现将该患诊治经过、误诊原因及经验教训报道如下,以期减少急性坏疽性阑尾炎误诊误治的发生,为临床医生
引文
[1] Ferris M,Quan S,Kaplan BS,et al. The Global Incidence of Appendicitis:A Systematic Review of Population-based Studies[J]. Ann Surg,2017,266(2):237-241.
[2] Coward S,Kareemi H,Clement F,et al. Incidence of Appendicitis over Time:A Comparative Analysis of an Administrative Healthcare Database and a Pathology-Proven Appendicitis Registry[J]. PLo S One,2016,11(11):e0165161.
[3] Soldo I,Radisic Biljak V,et al. The diagnostic accuracy of clinical and laboratory parameters in the diagnosis of acute appendicitis in the adult emergency department population-a case control pilot study[J]. Bakula B Biochem Med(Zagreb),2018,28(3):030712.
[4]丁文杰.急性阑尾炎患者应用腹腔镜手术治疗的研究进展[J].临床医药文献电子杂志,2018,5(83):193.
[5]生艳杰.多层螺旋CT多方位重建技术诊断急性阑尾炎的价值[J].影像研究与医学应用,2018,2(2):108-109.
[6]邝盛松.多排螺旋CT扫描及多平面重建技术在阑尾炎诊断中的应用价值[J].中国实用医药,2018,13(32):59-60.
[7]王吉耀. MDT—实施循证医学的最佳模式[J].中国普外基础与临床杂志,2018,25(1):82.