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目的:探讨老年急性假性肠梗阻(ACPO)的误诊原因。方法:分析32例ACPO的临床资料,总结误诊原因和预防方法。结果:本组中18例X线表现为分散的短小液平,14例表现为中等跨度的液平。7例行保守治疗,10例行结肠镜,15例行手术探查,15例中7例误诊为结肠梗阻,8例误诊为小肠梗阻。结论:严重的内科疾病误导和X线摄片次数少是导致误诊的原因。增加X线摄片次数,比较液平面和临床表现的变化是预防误诊的要点。
Objective: To investigate the causes of misdiagnosis of acute acute intestinal obstruction (ACPO) in the elderly. Methods: The clinical data of 32 cases of ACPO were analyzed, the causes of misdiagnosis and the prevention methods were summarized. Results: In this group, 18 cases of X-ray showed scattered short level, 14 cases showed medium-span level. 7 routine conservative treatment, 10 colonoscopy, 15 cases of surgical exploration, 15 cases of 7 cases misdiagnosed as colon obstruction, 8 cases misdiagnosed as small bowel obstruction. CONCLUSIONS: Serious misdiagnosis of medical diseases and a small number of radiographs are responsible for misdiagnosis. Increasing the number of X-ray photography, comparing the changes of fluid level and clinical manifestations is the key point to prevent misdiagnosis.