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目的:探讨上消化道出血的误诊原因,提高临床医生对此病的认识,减少误诊率。方法:分析我院2例误诊病例,并复习了国内关于上消化道出血的相关文献。结果:上消化道出血,大多数患者以呕血和黑便为主要表现,但有少数患者以急性周围循环衰竭或晕厥起病。易导致漏误诊,因此,必须提高警惕,做到早发现,早诊断,早治疗,以免延误病情。结论:上消化道出血症状典型者易于明确诊断,但对于少数非典型患者易误诊误治。因此,临床医生应提高对本病的认识,拓宽思路,减少误诊率。
Objective: To investigate the causes of misdiagnosis of upper gastrointestinal hemorrhage and to improve clinicians’ understanding of the disease and reduce the misdiagnosis rate. Methods: Two cases of misdiagnosis in our hospital were analyzed and the related literatures about upper gastrointestinal bleeding in China were reviewed. Results: Upper gastrointestinal bleeding, most patients with hematemesis and melena as the main performance, but a small number of patients with acute peripheral circulatory failure or onset of syncope. Misdiagnosis easily led to leakage, therefore, must be vigilant to achieve early detection, early diagnosis and early treatment, so as not to delay the disease. Conclusion: The typical symptoms of upper gastrointestinal bleeding are easy to diagnose easily, but it is easy to misdiagnosis and misdiagnosis for a few atypical patients. Therefore, clinicians should raise awareness of the disease, broaden their thinking and reduce the rate of misdiagnosis.