Depression anxiety digestive dysfunction caused by missed diagnosis misdiagnosis.docVIP

 PAGE \* MERGEFORMAT 7 Depression anxiety digestive dysfunction caused by missed diagnosis misdiagnosis Depression, anxiety, digestive dysfunction caused by the performance of complex and difficult to identify with organic gastrointestinal diseases, and often co-exist with organic gastrointestinal diseases, easily missed diagnosis and misdiagnosis. The author admitted in 15 years the CPC 706 cases of the disease, of which 100 cases (14.2%) missed both inside and outside hospital, misdiagnosis time by half to 5 years. Now be missed, misdiagnosed the situation is as follows, for fellow reference. A clinical data 1.1 General information missed in this group, 100 cases of misdiagnosis, the male 36 cases, female 64 cases; maximum age 82 years, minimum 16-year-old, with an average 45 years. 40 patients with newly diagnosed as chronic gastritis, reflux esophagitis in 20 cases of chronic cholecystitis in 16 cases, 12 cases of chronic colitis, hepatitis B, 8 cases, 4 cases of abdominal epilepsy; of these 90 cases accounted for 90.0% missed diagnosis, misdiagnosis 10 cases accounted for 10.0%; accompanied by 72 cases of acute anxiety, hair, severe depression with suicidal tendencies were 60 cases. 1.2 clinical manifestations of abdominal distension in 44 cases (44.0%), loss of appetite, abdominal pain, all 40 cases (40.0% each), anorexia in 16 cases (16.0%), nausea in 32 cases (32.0%), diarrhea in 22 cases (22.0%), constipation, 34 cases (34.0%). 1.3 Clinical diagnosis 2 Case Introduction Example 1. Female, 45 years old. Chief Complaint: ‘upper abdominal pain, anorexia, fatigue 2 years’. Have been repeated in many hospitals in the local treatment, many investigations were diagnosed with gastroscopy ‘chronic superficial gastritis’. After a variety of Western and Chinese medicine Huwei, anti-inflammatory, inhibit gastric acid secretion and other treatment failed to alleviate the symptoms. Retrospective medical history, the patient onset ago suffered major trauma and