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胃肠道穿孔常继发于溃疡、肿瘤、炎症或外伤,是一组常见的急腹症,穿孔一旦发生,很快就引起急性腹膜炎,需及时处理。因此,术前X线检查具有重要意义。本文收集54例被X线漏诊,经手术证实为胃肠道穿孔的病例,重点分析X线漏诊的主要原因,以求提高对本症的认识。 一般资料 54例中男45例,女9例;年龄最大69岁,最小14岁。致病原因:腹部闭合伤32例,溃疡17例,炎症3例,肿瘤2例。穿孔口径0.2～3.5cm不等,一处穿孔49例,两处穿孔5例。漏诊情况:胃穿孔漏诊9例,十二指肠穿孔漏诊5例,空肠穿孔漏诊26例,回肠穿孔
Perforation of the gastrointestinal tract often secondary to ulcers, cancer, inflammation or trauma, is a common set of acute abdomen, perforation in the event of acute peritonitis quickly caused by the need for timely treatment. Therefore, preoperative X-ray examination is of great significance. This article collected 54 cases of X-ray missed diagnosis, confirmed by surgery for the gastrointestinal perforation cases, focusing on the analysis of the main reasons for X-ray missed diagnosis in order to improve awareness of the disease. General information 54 cases of 45 males and 9 females; the oldest 69 years old, minimum 14 years old. Pathogenic reasons: abdominal closed injury in 32 cases, 17 cases of ulcers, inflammation in 3 cases, 2 cases of tumor. Perforated diameter of 0.2 ~ 3.5cm range, a perforation in 49 cases, two perforation in 5 cases. Misdiagnosis: missed diagnosis of gastric perforation in 9 cases, missed diagnosis of duodenal perforation in 5 cases, missed diagnosis of jejunal perforation in 26 cases, ileum perforation