普外科论文（Department of general surgery paper）.doc

普外科论文（Department of general surgery paper） Misdiagnosis of acute abdomen as appendicitis: a case report of 4 cases Keywords appendicitis; common diseases; Misdiagnosis; differential diagnosis; [Abstract] Objective To analyze the causes of other abdominal diseases misdiagnosed as appendicitis. Effective identification measures should be taken to reduce misdiagnosis and reduce misdiagnosis rate. Methods a retrospective investigation was conducted in 4 patients with surgical treatment of appendicitis from June 2003 to October 2011 in our hospital. Results 73 cases were misdiagnosed as appendicitis in the acute abdomen, and the misdiagnosis rate was 3.33%. All the treated patients were cured and discharged after the operation. Conclusion there is not enough knowledge about the clinical features and variations of appendicitis. The medical history is not comprehensive and the physical examination is incomplete and not detailed; there is a lack of necessary auxiliary examinations, and it is difficult to avoid atypical cases so that it can be misdiagnosed. Expand the comprehensive medical knowledge Department of general surgery physicians, especially with similar signs and symptoms of appendicitis, overcome hospital physician knowledge through special phenomenon; strict implementation of operation approval system and recognition of approval; only in this way can effectively reduce the rate of misdiagnosis. At the same time, the case of appendicitis should allow appendicitis to be misdiagnosed. Acute appendicitis is a common surgical disease, which is the first of all kinds of acute abdominal diseases. Metastatic right lower quadrant pain, tenderness of the appendix and rebound pain are the common clinical manifestations, but the condition of acute appendicitis is very changeable. The clinical manifestation of the patient is persistent right abdominal pain accompanied with paroxysmal aggravation, nausea and vomiting. The WBC and neutrophil count increase in most patients. Te