摘要
Abstract
Objective:To analyze the epidemiological characteristics of internal medicine acute abdomen,to explore the main reasons of delayed diagnosis,misdiagnose and missed diagnosis,to summarize the diagnostic experience.Methods:The clinical data of internal medicine acute abdome patients with delayed diagnosis were retrospectively analyzed.The delayed diagnosis reasons were descriptively analyzed.Results:Common diseases: acute gastritis,acute enteritis,peptic ulcer,gastrointestinal infection,the main reasons of the delayed diagnosis were not typical clinical manifestations,without apparent cause,without history,they were verified by imaging examination,endoscopy,efficacy,and confirmed by late typical performance.4 322 cases of internal medicine acute abdomen patients were selected at the same time;the proportion 55.68% of elderly patients with delayed diagnosis was higher than the proportion 8.31% of internal medicine acute abdomen;the difference was statistically significant(P<0.05). Conclusion:The pain position,onset time distribution,not typical pain level and unknown medical history are the major causes of delayed diagnosis of internal medicine acute abdomen.The elderly may cause delayed diagnosis.The internal medicine acute abdomen patients with delayed diagnosis is relatively light,acute and chronic boundary is not clear, the diagnosis is difficult,but the prognosis is good.关键词
内科/急腹症/诊断分析Key words
Internal medicine/Acute abdomen/Diagnostic analysis
