Misdiagnosis of Acute Pancreatitis.doc

 PAGE \* MERGEFORMAT 8 Misdiagnosis of Acute Pancreatitis [Abstract] Objective 10 years in our hospital misdiagnosed cases of acute pancreatitis, lessons learned, to improve the correct diagnosis of this disease. Methods 22 patients in our hospital with acute pancreatitis cases, careful analysis of the causes of misdiagnosis. Misdiagnosed cases more results because of the disease lack of knowledge, check the conditions are not met or incomplete due. Conclusions Strengthening of this disease study, detailed history, careful physical examination, a more comprehensive laboratory examinations on suspected patients, if necessary, repeatedly checking to reduce the disease misdiagnosed . [Keywords:] Misdiagnosis of Acute Pancreatitis Acute abdomen Acute pancreatitis is a common one, due to different patient age, etiology, and one each, varying severity of inflammation, complications, and clinical symptoms may not be typical of other, easily lead to misdiagnosis, delaying timing of treatment affect the prognosis of patients , and even endanger the lives of patients. now nearly 10 years in our hospital with acute pancreatitis in 22 cases of misdiagnosis reported as follows. 1 Clinical data 1.1 General Information of this group 22 patients, 12 males and 10 females, aged 20 to 81 years, average 58.5 years old. With previous gallstones, cholecystitis in 5 cases, 3 cases of coronary heart disease, 1 case of tuberculosis pleuritis have 1 case of diabetes, gastric ulcer in 1 case, 1 case of chronic gastritis, 2 cases of biliary ascariasis. 1.2 Clinical manifestations and signs of abdominal pain in 22 cases, 17 cases of nausea and vomiting, abdominal distension in 15 cases, 10 cases of fever, jaundice in 3 cases, shock in 3 cases, 20 cases of upper abdominal tenderness, muscle tension in 11 cases, 8 cases with rebound tenderness , ascites in 8 cases, 12 cases decreased bowel sounds. hemorrhagic ascites or abdominal puncture blood was 7 cases. 1.3 The auxil