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目的:通过对诊断不明急腹症留院观察后最终诊断结果分析,提高对急腹症初诊诊断准确率。方法:回顾性分析11例初诊时诊断不明急腹症留院观察后的诊断。结果:确诊为急性阑尾炎患者3例,原发性腹膜炎1例,急性盆腔炎2例,肠系膜淋巴结炎1例,腹直肌纤维织炎急性发作1例,带状疱疹腹痛型1例,吸毒者1例,不明原因1例。结论:本组初诊诊断不明急腹症留院观察后诊断结果仍以急腹症常见病多见;在对急腹症进行诊治时应有更全面的思维。
OBJECTIVE: To improve the diagnostic accuracy of newly diagnosed acute abdomen by analyzing the final diagnosis results of hospital stay after diagnosis of unknown acute abdomen. Methods: A retrospective analysis of 11 cases diagnosed at diagnosis of acute abdomen hospital stay after diagnosis. Results: 3 cases of acute appendicitis, 1 case of primary peritonitis, 2 cases of acute pelvic inflammatory disease, 1 case of mesenteric lymphadenitis, 1 case of anastomotic myotonia, 1 case of herpes zoster abdominal pain, 1 case of drug addict 1 Cases, 1 case of unknown reason. Conclusion: The diagnosis of acute abdomen is still common in the patients with unknown diagnosis of acute abdomen in our hospital. The diagnosis and treatment of acute abdomen should be more comprehensive.