中国大陆地区克罗恩病临床误诊的汇总分析
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沈志坤
克罗恩病;误诊情况;汇总分析沈志坤.中国大陆地区克罗恩病临床误诊的汇总分析.世界华人消化杂志2006;14(24)2460-2463,沈志坤,通讯作者:
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沈志坤, 湖州师范学院医学院 浙江省湖州市 313000
通讯作者: 沈志坤, 313000, 浙江省湖州市新华路601号, 浙江省湖州师范学院医学院. shenzq@hutc.zj.cn
电话: 0572-2321200
收稿日期: 2006-04-04 接受日期: 2006-04-29
A combined analysis of clinical misdiagnosis for Crohns’ disease in Chinese, mainland
Zhi-Kun Shen
Zhi-Kun Shen, School of Medicine, Huzhou Teachers College, Huzhou 313000, Zhejiang Province, China
Correspondence to: Zhi-Kun Shen, School of Medicine, Huzhou Teachers College, 601 Xinhua Road, Huzhou 313000, Zhejiang Province, China. shenzq@hutc.zj.cn
Received: 2006-04-04 Accepted: 2006-04-29
AbstractAIM:To investigate the clinical features of Crohn’s disease in China, especially the status, the locations of lesions and its misdiagnosis in clinics.
METHODS:The literatures published in the recent 50 years (1950-1959) about CD were colleted from the Chinese database of Biology and Medicine (CBM, 1979-01/2003-12) by computer and tracing back year by year. All the data about the locations of lesions and misdiagnoses, as well as other demography features were recorded, pooled and statistically analyzed.
RESULTS:There were 1644 cases of CD patients, of which 19.33% were misdiagnosed as intestinal obstruction and looping, 19.89% as intestinal tumors, 10.00% as abdominal mass, 13.95% as ileocecal space-occupying lesions, 14.47% as intestinal tuberculosis, 12.25% as ulcerative colitis, 33.85% as chronic enteritis, and 17.54% as appendiceal diseases.
CONCLUSION: CD has no specificity on clinical features, can affect any segment (often many segments) of the gastrointestinal tract from the mouth to anus, and induce the diversified clinical manifestations and high misdiagnosis.
Key Words: Crohn’s disease; Misdiagnosis; Combined analysis
Shen ZK. A combined analysis of clinical misdiagnosis for Crohns’ disease in Chinese, mainland. Shijie Huaren Xiaohua Zazhi 2006;14(24):2460-2463 ......
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