Author(s): Zhang Lianhua, Department of Respiratory and Digestive Internal Medicine, the People’s Hospital of Juye County
Pages: 114-115
Year: 2014 Issue:  10
Journal: Chinese Community Doctors
Keyword:  Acute; Severe acute pancreatitis; Misdiagnosis; Analysis of the causes; Countermeasures;
Abstract: Objective:To explore the causes and relevant counter measures of misdiagnosis of acute severe pancreatitis.Methods:64 patients with misdiagnosis of acute severe pancreatitis were selected.We retrospectively analyzed their clinical datas.Results:In 64 cases of misdiagnosis,we used upper abdominal CT or exploratory laparotomy revealed that:12 patients with pancreatic enlargement or local necrosis,53 cases with large pancreatic necrosis,35 patients with peripancreatic tissue necrosis and hemorrhage.In 64 cases of misdiagnosis,after we rescue efforts,48 cases were survived,16 cases were died.Conclusion:We can prevent misdiagnosis of acute pancreatitis patients and improve the success rate of rescue through take the appropriate measures.