老年急性出血坏死性肠炎6例临床诊治分析

摘要

Objective:To analyze the misdiagnosis of senile acute hemorrhagic necrotic enteritis,in order to improve the understanding of clinical work in elderly patients with acute hemorrhagic necrotizing enteritis,and to provide the basis for the diagnosis and treatment of this disease.Methods:6 patients with acute hemorrhagic necrotizing enteritis misdiagnosed were selected.We analyzed their clinical data.Results:The patients were misdiagnosed as bacillary dysentery of 2 cases,1 case of intestinal obstruction,3 cases of appendicitis.Conclusion:Due to the lack of specific clinical symptoms,misdiagnosis rate of acute hemorrhagic necrotic enteritis was high.Clinically,the first symptoms of elderly patients were abdominal pain with early signs of peritoneal irritation.We should consider the possibility of acute hemorrhagic necrotizing enteritis,to reduce the misdiagnosis and the mortality rate.%目的：分析老年急性出血坏死性肠炎的误诊情况，以提高临床工作中对老年急性出血坏死性肠炎的认识，为本病的诊治提供依据。方法：收治急性出血坏死性肠炎误诊患者6例，分析其临床资料。结果：患者被误诊为菌痢2例，肠梗阻1例，阑尾炎3例。结论：急性出血坏死性肠炎由于缺乏特异性临床症状，误诊率极高。临床上遇到以腹痛合并早期即出现腹膜刺激征为首发症状的老年患者应想到急性出血坏死性肠炎的可能，以减少误诊，降低病死率。