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目的探讨内科病引起急腹症的特点及误诊原因。方法对2004-02-2009-02经完善相关检查后确诊的以急性腹痛发病的内科病(急性心梗、病毒性心肌炎、肺炎、渗出性胸膜炎、主动脉夹层)初诊被误诊32例临床资料作回顾性分析。结果被误诊为急性胃肠炎17例,急性胆囊炎6例,急性胰腺炎4例,急性胃穿孔3例,急性阑尾炎2例。误诊时间5h～1周。结论急腹症病因复杂,变化多样,应详细询问病史,全面系统体检,熟悉其临床特点,提高认识,避免误诊。
Objective To investigate the characteristics of acute abdomen caused by medical diseases and the causes of misdiagnosis. Methods The clinical data of 32 cases of newly diagnosed medical diseases (acute myocardial infarction, viral myocarditis, pneumonia, exudative pleurisy, aortic dissection) diagnosed in 2004-02-2009-02 after diagnosis were improved. For retrospective analysis. The results were misdiagnosed as acute gastroenteritis in 17 cases, acute cholecystitis in 6 cases, 4 cases of acute pancreatitis, acute gastric perforation in 3 cases, 2 cases of acute appendicitis. Misdiagnosis time 5h ~ 1 week. Conclusions The causes of acute abdomen disease are complex and varied. We should ask medical history, comprehensive physical examination, familiar with clinical features, raise awareness and avoid misdiagnosis.