吴德全 杨维良 韩德恩 150086 哈尔滨，哈尔滨医科大学附属第二医院普通外科 中国胃肠外科杂志 1999 0 2 3


    关键词：腹部闭合性损伤；结肠损伤；误诊 期刊 zgwcwkzz 0 论著 fur -->


    

【摘要 】 目的 总结腹部闭合性损伤中结肠损伤误诊的原因及预防措施。方法 通过分析1988～1998年24例腹部损伤的临床资料，进行经验总结。结果 24例结肠损伤中有9例发生误诊(占37.5%)；误诊的主要原因是结肠的解剖结构和生理功能特点致使结肠损伤后早期症状不典型。结论 提高对结肠损伤的认识，了解结肠损伤的特点，配合必要的辅助检查手段可以最大限度地减少结肠损伤的误诊率。

Analysis of delayeddiagnosis on colic injury: A report of 24 cases

WU Dequan, YANG Weiliang, HANDe'en. Department of General Surgery, Second Affiliated Hospital, Harbin MedicalUniversity, Harbin 150086

【Abstract 】 Objective To conclude the reasons andprevention of delayed diagnosis on colic injury in abdominal closed wound. Methods Clinical materials of 24 caseswith abdominal wound from 1988 to 1998 in our hospital and experiences concerned weresummarized. Results 37.5%(9/24) of the patients wounded on colon was delayed fordiagnosis. The high frequency of delayed diagnosis on colic injury was mainly due to themild pain of abdomen during its early stage, which was related to its characteristics ofcolon on anatomical structure and physiological function. Conclusion The rate of delayed diagnosis oncolic injury could be obviously cut down by paying full attention to its occurrence,understanding the characteristics of colic injury, and examining some laboratory tests.

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