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我院1990年11月～1998年3月间明确诊断的原发性肝癌(简称肝癌)住院病例中,有13例因临床表现不典型而误诊为其他肝外疾病,分析如下。 1 一般资料 13例中,男性7例,女性6例,年龄30～78岁。其中误诊为宫外孕1例,急腹症2例,结核性腹膜炎4例,结核性胸膜炎2例,急性胃肠炎1例,萎缩性胃炎2例,风湿病1例。 2 误诊分析 2.1 误诊为宫外孕1例 患者女,30岁,因腹痛8小时,晕厥1次入院。查体:血压0/0kPa,脉搏细弱,急性重病容,皮肤粘
Of the hospitalized cases of primary liver cancer (hepatocellular carcinoma) diagnosed between November 1990 and March 1998 in our hospital, 13 were misdiagnosed as other extrahepatic diseases due to atypical clinical manifestations. The analysis is as follows. 1 General Information 13 cases, 7 males and 6 females, aged 30 to 78 years old. One case was misdiagnosed as ectopic pregnancy, 2 cases of acute abdomen, 4 cases of tuberculous peritonitis, 2 cases of tuberculous pleurisy, 1 case of acute gastroenteritis, 2 cases of atrophic gastritis, and 1 case of rheumatism. 2 misdiagnosis analysis 2.1 misdiagnosed as 1 case of ectopic pregnancy female patient, 30 years old, 8 hours because of abdominal pain, syncope 1 admission. Physical examination: blood pressure 0/0kPa, weak pulse, acute severe disease, skin adhesion