Misdiagnosis and missed diagnosis of gastrointestinal bleeding of.doc

 PAGE \* MERGEFORMAT 6 Misdiagnosis and missed diagnosis of gastrointestinal bleeding of [Abstract] Objective majority of gastrointestinal bleeding from upper gastrointestinal tract and the colon part of the lower gastrointestinal tract, and most patients can be diagnosed by endoscopy to determine, only a minority of patients diagnosis difficult misdiagnosed and missed, by us 10 years in our hospital were 52 cases of misdiagnosis and missed diagnosis of gastrointestinal bleeding the cause analysis, investigate the reasons for its occurrence in order to improve the diagnosis of the disease to avoid misdiagnosis and missed diagnosis further. 1 Subjects and methods 1.1 The object of study in January 1999 -2009 in January in the hospital or outside the hospital occurred in the 52 misdiagnosed cases, 31 cases of male, female 21 cases, aged 17-76 years, mean 47 years, accounting for the same period because of gastrointestinal bleeding 3.8% of hospitalized patients, 14 cases will be black, 27%, there will be blood, mucus, blood will be 27 cases, 51.9%, mainly in 11 cases of anemia, accounting for 21.1%. 1.2 Methods Retrospective analysis of the reasons for misdiagnosed to find ways to avoid misdiagnosis and missed diagnosis. 2 Results It showed 14 cases of gastrointestinal bleeding black, of which 13 cases were later hospitalized, there are proven right colon, which would mainly come from the right side of the colon black chronic anemia, these patients during gastroscopy found in the stomach have different degrees of disease, of which 8 patients with active peptic ulcer, gastric erosion in 4 cases, 1 patient missed the other down the lower part of duodenum following paragraph l intestinal bleeding duodenal diverticulum and infection bleeding. Performance of bloody mucus, blood in 27 cases of bloody stool, 8 cases were misdiagnosed as hemorrhoids bleeding, 7 cases of blood to blood for the performance will be misdiagnosed as hemorrhoid