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近年来由于X线诊断技术不断提高和内镜检查普遍开展,胃癌的诊断率有很大的提高.但是青年人胃癌误诊率仍很高,确诊时多数已属晚期,失去根治的机会,五年生存率极低.我们近五年来收治青年人胃癌79例,误诊23例,占34.4%.本文着重讨论分析其误诊原因,从中吸取教训.临床资料一、性别与年龄 男10例,女13例,年龄最小19岁,最大30岁,平均年龄27.3岁.二、临床表现 上腹部疼痛17例(74%),呕血和/或黑粪12例(52%),贫血7例(30%),消瘦5例(22%),发热、黄疸与腹部包块各2例(9%).
In recent years, due to the continuous improvement of X-ray diagnostic techniques and the widespread implementation of endoscopy, the diagnostic rate of gastric cancer has been greatly improved. However, the misdiagnosis rate of young people with gastric cancer is still high. Most diagnoses are already advanced, and they have lost the chance of radical cure. The survival rate is very low. In the past five years, 79 cases of young patients with gastric cancer have been treated and 23 cases have been misdiagnosed, accounting for 34.4%. This article focuses on the analysis of misdiagnosis reasons and draws lessons from them. Clinical data 1. Sex and age of 10 males and 13 females , The youngest is 19 years old, the largest is 30 years old, the average age is 27.3 years old. Second, clinical manifestations of abdominal pain in 17 cases (74%), hematemesis and/or black feces in 12 cases (52%), anemia in 7 cases (30%), Weight loss was found in 5 cases (22%), fever, jaundice and abdominal mass in 2 cases (9%).