临床误诊误治Issue(8)：12-15,4.DOI:10.3969/j.issn.1002-3429.2014.08.005
以急腹症为首发表现的糖尿病误诊分析
Acute Abdomen as the First Symptom of Diabetes:Misdiagnosis Analysis
摘要
Abstract
Objective To analyze the clinical features, reasons for misdiagnosis and precautionary measures in pa-tients with acute abdomen as the first symptom of diabetes. Methods Clinical data of 9 patients with acute abdomen as the first symptom of diabetes in our hospital was retrospectively analyzed. Results The misdiagnosis rate in the group was 22.5% and the misdiagnosis time was from 3 hours to 2 days. 3 cases with bellyache and vomiting up, whose upright abdomi-nal X-ray showed liquid-air interface in intestinal canal were misdiagnosed as acute intestinal obstruction;3 patients had diar-rhea and white blood cell in stool routine test, and were misdiagnosed as acute enteritis;2 cases had hypogastralgia, leukocy-tosis and a fever, and were misdiagnosed as acute appendicitis;1 case had hematuria increased amylase and unclear head of pancreas showed in abdominal color Doppler ultrasound, and was misdiagnosed as acute pancreatitis. It was ineffective for all the 9 patients treated as misdiagnosis disease. After being asked about medical history carefully, checked with blood glucose, urine glucose, urine ketone and blood gas analysis, they were diagnosed as diabetic ketoacidosis. After treated accordingly, 9 cases were all discharged with symptoms improvement. Conclusion The diabetes patients with acute abdomen as the first symptom and indeterminate medical history may be misdiagnosed easily. It can avoid misdiagnosis and missed treatments, if we reinforce the knowledge of diabetes and complications, ask medical history carefully and have the relevant laboratory tests in time.关键词
糖尿病/急腹症/误诊/肠梗阻/肠炎Key words
Diabetes Mellitus/Abdomen, acute/Diagnostic errors/Intestinal obstruction/Enteritis分类
医药卫生引用本文复制引用
郭静霞,任巧华,王欣,苏白玉..以急腹症为首发表现的糖尿病误诊分析[J].临床误诊误治,2014,(8):12-15,4.基金项目
石家庄市科学技术研究与发展支撑计划项目(131462663) （131462663）
