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目的探讨以突发腹痛为首发症状肝硬化自发性细菌性腹膜炎(SBP)的误诊原因,提高对其认识,减少误诊。方法复习29例突发腹痛为首发症状的肝硬化SBP患者的临床及影像学表现、实验室检查报告并进行分析。结果以突发腹痛为首发症状肝硬化SBP29例,其中误诊21例,误诊率为90.5%结论肝硬化SBP临床表现无特异性,特别是以突发腹痛为首发症状者,临床较少见,人们对其认识不足,易误诊。结论对肝硬化失代偿患者出现急腹症时,建议作常规B超、腹部透视、诊断性腹腔穿刺、腹水化验等检查。
Objective To investigate the causes of misdiagnosis of spontaneous bacterial peritonitis (SBP) with sudden abdominal pain as the first symptom of cirrhosis and to improve its understanding and reduce the misdiagnosis. Methods The clinical and radiological manifestations, laboratory tests and reports of 29 patients with primary abdominal pain as first symptom of cirrhosis were reviewed and analyzed. Results Sudden abdominal pain as the first symptom cirrhosis SBP29 cases, of which 21 cases were misdiagnosed, the misdiagnosis rate was 90.5% Conclusion The clinical manifestations of cirrhosis SBP nonspecific, especially with sudden abdominal pain as the first symptom, clinical less common, people Lack of understanding of it, easily misdiagnosed. Conclusion In patients with decompensated cirrhosis of the acute abdomen, the proposed routine B-ultrasound, abdominal fluoroscopy, diagnostic paracentesis, ascites and other tests.