临床表现不典范的慢性阑尾炎19例误诊启事剖析(国外英文资料).doc

临床表现不典型的慢性阑尾炎19例误诊原因分析 Clinical manifestations of atypical chronic appendicitis were analyzed in 19 cases Objective to summarize the misdiagnosis of chronic appendicitis to reduce misdiagnosis. Methods the clinical data of 47 cases of chronic appendicitis were confirmed by the hospital in March 2012. Results 19 cases were misdiagnosed and the error rate was 40.43%. There were 7 cases of chronic gastritis, 5 cases of pelvic inflammation, 4 cases of chronic colitis, 2 cases of chronic cholecystitis, 1 of right kidney stones. Postoperative examination, postoperative pathology examination and related medical and technical examination were confirmed, and the diagnosis time was 1.0 ~ 4.3 years. After treatment, the incision was healed and discharged. Conclusion the possibility of chronic appendicitis should be alerted to the absence of a typical acute appendicitis, which is the main phenotype of the lower right abdominal pain. [keywords] appendicitis; The misdiagnosis. Gastritis; colitis Chronic appendicitis after acute inflammation subsidise refer to appendix legacy of appendix of chronic inflammatory lesions, lack of typical clinical manifestations of the disease, a few cases is a chronic process, at the beginning of their errors. In march, 2008, 47 cases of chronic appendicitis were diagnosed in the hospital in March, 2008, and the diagnosis rate was 40.43 percent for 19 cases. Clinical data of 1 There were 19 cases in the general data group, 12 men and 7 women; Age 17 ~ 72 years, average 51.4 years. The duration of the disease was 1.6 to 9.0 years, with an average of 5.3 years. The clinical manifestations and the 19 cases were all chronic pain in the right lower right, characterized by intermittent dull pain or distal pain, which was evident after eating, fatigue, or prolonged exercise. There were 7 cases of abdominal discomfort and indigestion. Examination body: the right lower abdomen is painful 17 cases, the position is fixed, the pressure is obvious, there is no