摘要
目的分析消化道穿孔的临床特点,提高诊断率。方法回顾分析58例术后确诊为消化道穿孔患者的资料,总结其症状、体征特点及腹部X线,评价各项指标的临床诊断意义。结果 58例患者均有不同程度腹部压痛和"板状腹样"体征,典型腹膜刺激征者41例(70.7%),其中老年人有典型体征者占44.4%(4/9),中青年组占75.5%(37/49)。79%(46/58)的患者在腹部X线片中发现膈下游离气体。结论消化道穿孔的临床表现不一,病史、体征、X线检查综合诊断是提高诊断率的关键。
Objective To analyze the clinical features of gastrointestinal perforation and to improve the diagnosis rate. Methods Retrospectively analyzed 58 patients diagnosed as gastrointestinal perforation. Their symptoms, features of signs and abdominal X-ray were summed up. The diagnostic significance of each indicators was evaluated. Results Fifty-eight patients had varying degrees of abdominal tenderness and abdominal ＂plate-like＂ signs. Typical peritoneal irritation sign was observed in 41 cases （70.7%）. The elderly had typical signs accounted for 44.4% （4/9）, the young group accounted for 75.5%（37/49）. Subdiaphragmatic free gas were discovered in the abdomen X-ray films in 79% （46/58） of patients. Con- clusion Clinical manifestations of gastrointestinal perforation is vary, comprehensive diagnosis of the medical history, physi- cal signs, X-ray examination is the key to improving the diagnostic rate.
出处
《中国当代医药》
2012年第18期169-170,共2页
China Modern Medicine
关键词
消化道穿孔
诊断
治疗
临床特点
Gastrointestinal perforation
Diagnosis
Treatment
Clinical features
