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目的探讨以腹泻为主要症状的原发性肝癌的误诊分析。方法分析2010-2013年曾在本院就诊的以腹泻为主要症状6例原发性肝癌患者误诊情况。结果本组病例以男性为主,年龄40~50岁为主,5例有慢性肝病,均被误诊,最终确诊为原发性肝癌。误诊原因主要为基层医务人员对病因认识不足。结论充分认识腹泻的特点,尤其对中年男性有腹泻症状、有肝病者,应提高警惕肝癌可能,及时进行详细检查,减少对肝癌的误诊。全社会应加大对人民群众进行防病意识宣传、教育,普及医学知识。
Objective To investigate the misdiagnosis of primary liver cancer with diarrhea as the main symptom. Methods To analyze the misdiagnosis status of 6 patients with primary liver cancer who had diarrhea as the main symptom in our hospital from 2010 to 2013. Results This group of patients mainly male, aged 40 to 50 years old, 5 cases of chronic liver disease, were misdiagnosed, the final diagnosis of primary liver cancer. The main cause of misdiagnosis is the lack of understanding of the cause of the disease among primary medical staff. Conclusions Fully aware of the characteristics of diarrhea, especially for middle-aged men with diarrhea, liver disease, liver cancer should be increased vigilance, timely and detailed examination to reduce the misdiagnosis of liver cancer. The whole society should step up publicity on disease prevention awareness and education and popularize medical knowledge to the masses of the people.