探讨手术治疗非外伤性外科急腹症的临床诊断

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1、探讨手术治疗非外伤性外科急腹症的临床诊断鹤岗市人民医院154101摘要：目的：研宄分析手术治疗非外伤性外科急腹症患者临床诊断方法。方法:此次研究的对象是选择2008年1月至2014年5月收治的336例需手术治疗非外伤性外科急腹症患者。将其临床资料进行回顾性分析。结果：木组336例患者确诊急性阑尾炎103例，胆囊炎62例，急性肠梗阻49例，消化道溃疡穿孔38例，肭管结石伴肭管炎37例，嵌顿疝14例，消化道肿瘤穿孔13例、肝癌破裂及脾脏自发破裂10例，胆囊扭转4例，肠憩室出血、穿孔4例，肠系膜血管闭塞2例。手术治疗顺利康复330例，死亡6例，木组误诊、漏诊17例，木组术前准确

2、诊断率为94.94%,漏误诊率为5.06%。手术死亡率为1.78%。结论:需手术治疗非外伤性外科急腹症在普外科疾病中较为常见，大部分病人病情病情重复杂多变，需临床接诊医生有丰富的临床经验及快速的反应能力，按急腹症诊断要求进行诊断，能否及时准确诊断，尽早有效手术治疗，直接影响疗效甚至生命安危。关键词：外科：非外伤急腹症；诊断；手术治疗Abstract:Objective:Tostudythesurgicaltreatmentofnontraumaticacuteabdomenpatientswithclinicaldiagnosismethod.Methods:theobj

3、ectofthestudyisselectedfromJanuary2008toFebruary2014336casesadmittedforsurgicaltreatmentofnontraumaticacuteabdomenpatients.Theclinicaldatawereretrospectivelyanalyzed.Results:the336casesofpatientsforthediagnosisofacuteappendicitisin103cases,62casesofcholecystitis，49casesofacuteintestinalob

4、structionanddigestivetractulcerperforationin38cases，bileductstonesassociatedwithcholangitisin37cases,blockincarceratedinguinalhernia,14cases，13casesoftumorofdigestivetractperforation,ruptureofhepatocellularcarcinomaandspleenspontaneousrupturein10cases,gallbladdertorsionturnin4cases,intest

5、inaldiverticularbleeding,perforationin4cases，mesentericvascularocclusionin2cases.Surgicaltreatmentwassuccessfulin330cases,6casesofdeath,17casesofmisdiagnosisandmisseddiagnosis,therateofpreoperativediagnosiswas94.94%,themisdiagnosisratewas5.06%.Operativemortalitywas1.78%.Conclusion:surgery

6、inthetreatmentofnontraumaticacuteabdomensurgeryingeneralsurgerydiseasesmorecommon.Mostofthepatientswiththediseaserepeatedmiscellaneouschangeful，clinicalacceptsthedoctormusthaverichclinicalexperienceandrapidresponsecapability,accordingtothediagnosisofacuteabdomenfordiagnosis，cantimelyandac

7、curatediagnosisassoonaspossibleeffectivesurgicaltreatment，directlyaffectcurativeeffectevenlifesafety.Keywords:Surgery;nontraumaticacuteabdomen;diagnosis;surgicaltreatment需手术治疗非外伤性外科急腹症是指各种由于非外伤性原因引起的腹腔内外脏器的病变而表现为腹部的急性疼痛的疾病，这一部分疾病，病情特点为发病急、变化快、病情重、病因复杂。现对我院外科自2008年1月