摘要
急腹症是腹内某一脏器突发器质性病变引起的急性腹痛,具有起病急、发展快、病情重、变化多、病因复杂的特点。故早期、及时、准确的诊断是制定治疗措施的前提条件。近年随着超声医学的迅速发展,超声检查已成为急腹症诊断和鉴别诊断的重要手段[1]。本文就本院2007年5月至2009年5月收治的急腹症病例进行回顾性分析,旨在探讨急腹症超声诊断中漏误诊的原因。
出处
《浙江创伤外科》
2011年第1期67-68,共2页
Zhejiang Journal of Traumatic Surgery
二级参考文献15
-
1Paul Georg Lankisch,Torsten Blum,Patrick Maisonneuve,et al.Severe Acute Pancreatitis:When to Be Concerned[J]?Pancreatology,2003 3,102.
-
2CW Imrie.Prognostic indicators in acute pancreatitis[J].Can J Gastroenterol,2003,17(5):325.
-
3Venkatesan T,Moulton JS,Ulrich CD 2nd,et al.Prevalence and predictors of severity as defined by atlanta criteria among patients presenting with acute pancreatitis[J].Pancreas,2003,26(2):107.
-
4Arvanitakis M,Delheye M,Daertetaere,V,et al.Computed tomography and magnetic resonance imaging in the assessment of acute pancreatitis[J].Gastroenterology,2004,126(3):715.
-
5Rettally CA,Skarda S,Garza MA,et,al.The usefulness of laboratory tests in the early assessment of severity of acute pancreatitis[J].Crit Rev Clin Lab Sci,2003,40(2):117.
-
6Dervenis CG.Staging acute pancreatitis:where are we now[J]?Pancreatology.2001;1(3):201-6.
-
7Pooran N,Indaram A,Singh P,Bank S.Cytokines(IL-6,IL-8,TNF):early and reliable predictors of severe acute pancreatitis[J].J Clin Gastroenterol,2003,37(3):263.
-
8Waldemar Uhl,Andrew Warshaw,Clement Imrie,et al.IAP guidelines for the surgical management of acute pancreatitis[J].Pancreatology,2002,2:565.
-
9孙家邦,朱斌,张键.暴发性胰腺炎诊治关键探讨[J].中国实用外科杂志,2003,23(1):53-55. 被引量:93
-
10梁鸿发,陈志坦,时开网,杨坤兴,马蓉,孙士其,井清源.早期内镜乳头括约肌切开治疗重症急性胰腺炎的疗效[J].中华普通外科杂志,2003,18(1):51-52. 被引量:20
共引文献16
-
1孙念峰,张建良.老年人重症急性胆源性胰腺炎的中西医结合治疗临床分析[J].中国中西医结合杂志,2009,29(2):126-129. 被引量:7
-
2朱崇兵,朱福云.急腹症超声检查误漏诊原因分析及对策探讨[J].中国临床医生杂志,2006,34(5):51-52. 被引量:7
-
3李桂芳.妇科急腹症超声诊断的研究[J].临床和实验医学杂志,2007,6(1):116-116. 被引量:10
-
4刘亮,陈红天.B超检查在急腹症诊断中的应用价值[J].医学临床研究,2009,26(3):498-500. 被引量:2
-
5刘祝平.探讨超声检查在妇科急腹症中的临床应用[J].中国实用医药,2010,5(24):50-51. 被引量:9
-
6姜涛,刘彤,何小玲,王鹏志.老年人重症急性胰腺炎的临床特点[J].中国中西医结合外科杂志,2011,17(2):129-132. 被引量:2
-
7樊书军.急腹症超声诊断中漏误诊的原因分[J].按摩与康复医学,2011,2(33):241-241.
-
8李瑞苗.经阴道超声对异位妊娠的诊断价值[J].中国社区医师(医学专业),2013,15(8):236-236. 被引量:1
-
9张敏.妇科急腹症的超声诊断价值探讨[J].中国实用医药,2013,8(25):51-53. 被引量:6
-
10陈艳.经阴道超声检查在异位妊娠诊断中的价值[J].中外医学研究,2014,12(6):79-80. 被引量:4
同被引文献58
-
1宋富珍,程英升.多层螺旋CT成像技术在急腹症中的应用[J].世界华人消化杂志,2006,14(23):2332-2336. 被引量:24
-
2Bennett GL, Harvey WB, Slywotzky CM, Birnbaum BA. CT of the acute abdomen: gynecologic etiologies. Abdom Imaging 2003; 28: 416-432 PubMed DOI.
-
3Dye T. The acute abdomen: a surgeon's approach to diagnosis and treatment. Clin Tech Small Anim Pract 2003; 18: 53-65 PubMed DOI.
-
4Romano S, De Lutio E, Lombardo P, Gatta G, Romano L. Acute abdomen due to internal hernia through the foramen of Winslow: CT diagnosis. Radiol Med 2003; 105: 511-513 PubMed.
-
5Gomes CA, de Figueiredo AA, Soares Júnior C, Bastos Netto JM, Tassi FR. [Acute abdomen: spontaneous bladder rupture as an important differential diagnosis]. Rev Col Bras Cir 2009; 36: 364-365 PubMed DOI.
-
6Eiberg JP, Grantcharov TP, Eriksen JR, Boel T, Buhl C, Jensen D, Pedersen JF, Schulze S. Ultrasound of the acute abdomen performed by surgeons in training. Minerva Chir 2008; 63: 17-22 PubMed.
-
7Williams RJ, Windsor AC, Rosin RD, Mann DV, Crofton M. Ultrasound scanning of the acute abdomen by surgeons in training. Ann R Coll Surg Engl 1994; 76: 228-233 PubMed.
-
8Lindelius A, Pettersson H, Adami J, T?rngren S, Sondén A. Patient factors influencing the effect of surgeon-performed ultrasound on the acute abdomen. Crit Ultrasound J 2010; 2: 97-105 PubMed DOI.
-
9Meuwly JY, Felley C, Vuilleumier H, Schnyder P, Hewig U. [Ultrasound examination of non-traumatic acute abdomen]. Ultraschall Med 2002; 23: 13-21 PubMed DOI.
-
10Pe?a BM, Taylor GA, Fishman SJ, Mandl KD. Costs and effectiveness of ultrasonography and limited computed tomography for diagnosing appendicitis in children. Pediatrics 2000; 106: 672-676 PubMed DOI.
-
1戴年思.胆总管结石B超检查漏误诊原因分析[J].临床超声医学杂志,1997,8(3):190-191. 被引量:10
-
2梁红元.外科急腹症的B超诊断[J].赣南医学院学报,1999,19(4):340-341. 被引量:1
-
3董宝玮.超声医学[J].中华医学杂志,1993,73(12):743-744.
-
4徐智章.超声医学[J].中华医学杂志,1992,72(12):739-740.
-
5李瑛.护理工作在超声检查中的配合[J].中华医学写作杂志,2002,9(1):53-54. 被引量:3
-
6黄子洲,叶德富,薛原,郑玲.干燥综合征漏误诊原因探讨[J].临床误诊误治,1998,11(4):216-216. 被引量:2
-
7张献怀.不要把便秘当小病[J].中国社区医师,2003,19(15):24-24.
-
8陈静.胆系结石B超漏误诊18例原因分析[J].苏州医学院学报,1998,18(2):215-215.
-
9苑剑虹,李晓梅,王炯.内镜和X线检查在吞咽困难患者诊断中的应用[J].河北医药,2012,34(20):3119-3120.
-
10贾君慧.血透患者行颈内静脉置管术的护理体会[J].中国疗养医学,2010,19(3):229-229.