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目的探讨肝癌误诊为肝脓肿的原因,提高诊疗水平。方法回顾性分析以发热为首发表现的肝癌误诊为肝脓肿3例患者的临床资料。结果 3例患者均因误诊,导致病程迁延。其中2例临床治疗效果良好,1例因误诊而错过最佳治疗时机。结论原发性肝癌和继发性肝癌均缺乏特异性临床表现,容易误诊。全方位综合分析临床表现、实验室检查及影像学资料,可减少误诊。
Objective To investigate the causes of liver cancer misdiagnosed as liver abscess and to improve the diagnosis and treatment. Methods The clinical data of 3 patients with liver abscess misdiagnosed as hepatoma with fever as the first manifestation were retrospectively analyzed. Results 3 patients were misdiagnosed, leading to prolonged course of disease. Two cases of clinical treatment effect is good, one case missed the best treatment due to misdiagnosis. Conclusions Primary liver cancer and secondary liver cancer lack of specific clinical manifestations, easily misdiagnosed. A comprehensive analysis of clinical manifestations, laboratory tests and imaging data can reduce misdiagnosis.