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目的提高对胆囊疾病伴随消化道肿瘤的认识,减少漏诊。方法对18例漏诊消化道肿瘤的胆囊手术病例,从一般资料、辅助检查及漏诊情况进行总结、归纳、分析。结果所有漏诊病例胆囊疾病症状不典型,检查资料显示漏诊患者均有不典型腹痛、贫血、消瘦等消化道表现,术后症状不能改善或加重而确诊。结论对胆囊结石症状不典型病例,应走出惯性思维及一元论的思想误区,进行必要的术前检查以防漏诊。
Objective To improve the awareness of gallbladder disease accompanied with gastrointestinal tumors and reduce missed diagnosis. Methods 18 cases of missed diagnosis of gastrointestinal cancer cases of gallbladder surgery, general information, laboratory examinations and missed cases summarized, summarized and analyzed. Results All cases of missed diagnosis of gallbladder disease atypical, check the data showed that patients with missed diagnosis of atypical abdominal pain, anemia, weight loss and other gastrointestinal symptoms, postoperative symptoms can not be improved or aggravated diagnosis. Conclusion Atypical cases of gallstone symptoms should be out of inertial thinking and monistic thinking errors, the necessary preoperative examination to prevent missed diagnosis.