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目的探讨腹部卒中所致急腹症诊治失误原因及预防措施。方法对收治的腹部卒中所致急腹症3例(4次)患者的临床资料进行回顾性分析。结果该腹部卒中所致急腹症3例均为误诊,误诊为“阑尾炎”手术2例(其中再手术1例),最重患者因失血性休克、呼吸循环衰竭死亡。另1例首次发病以“粘连性肠梗”手术探查,将腹膜后机化血疑为“肿瘤”;第2次发病后明确诊断行保守治疗,现健在。结论掌握其特殊临床表现和诊治基本功,避免思维定势,可以避免或减少误诊误治。血管专科的经验和技术有助于该病的有效治疗。
Objective To investigate the causes and preventive measures of diagnosis and treatment of acute abdomen caused by abdominal stroke. Methods The clinical data of 3 patients (4 times) with acute abdomen induced by abdominal stroke were retrospectively analyzed. Results All three cases of acute abdomen caused by abdominal stroke were misdiagnosed as misdiagnosed as “appendicitis” in 2 cases (re-operation in 1 case). The heaviest patients died of hemorrhagic shock and respiratory failure. Another case of the first incidence of “adhesive intestinal obstruction” surgical exploration, the retroperitoneal blood suspected of “tumor”; the second diagnosis of a clear line of conservative treatment, is now alive. Conclusion To master its special clinical manifestations and diagnosis and treatment of basic skills, to avoid thinking fixed, you can avoid or reduce misdiagnosis and mistreatment. Vascular specialist experience and technology contribute to the effective treatment of the disease.