以上腹痛为表现的腹部螺旋CT及胸腹X线未见异常的上消化道穿孔的诊疗分析

摘要

Objective:To explore the diagnosis and treatment of upper digestive tract perforation with abdominal pain and without abnormal results in abdominal spiral CT and chest abdominal X-ray.Methods:5 cases of upper digestive tract perforation were selected,the clinical data were retrospectively analyzed.Results:According to the clinical evaluation,5 patients were highly suspected to be digestive tract perforation,but there was no obvious abnormality in X ray and abdomen CT,the symptoms were not relieved by pain control,we as soon as possible reviewed the abdominal X ray examination after indwelling gastric tube and gas injection,there were subphrenic free gas in all 5 patients,they were considered to be the upper digestive tract perforation. Conclusion:As soon as possible to determine the cause of the disease had good help for the next step in the diagnosis and treatment program of patients.%目的：探讨以上腹痛为表现的腹部螺旋CT及胸腹X线未见异常的上消化道穿孔的诊疗分析。方法：收治上消化道穿孔患者5例，回顾性分析临床资料。结果：根据临床评估，5例患者均高度怀疑为消化道穿孔，但X线及腹部CT未见明显异常影像学提示，予止痛控制，症状未缓解，尽快予留置胃管注气后复查腹部X线，5例皆提示膈下游离气体，考虑上消化道穿孔。结论：尽早明确病因对于患者下一步诊疗方案有较好的实质帮助。