Abstract
<p><em>This study is an analysis of the clinical value of ultrasonic diagnostic technique in the differential diagnosis of acute abdomen of the liver and gallbladder. Methods from July 2010 to October 2015, 641 cases of acute abdomen admitted to Macao </em><em>Conde de Sao Januario</em><em> Hospital were retrospectively analyzed. Among 641 cases of acute abdomen, 280 cases (43.7%) were diagnosed as acute appendicitis, 168 cases (26.3%) had acute pancreatitis, 79 cases (12.3%) had acute cholecystitis, 65 cases (10.1%) had urinary stones, 49 cases (7.6%) had liver abscesses. In 641 cases of acute abdominal disease, 584 cases were consistent with the results of ultrasonic examination and final diagnosis, which accounted for 91.1% of the total number of cases. Therefore, ultrasound diagnostic technology has a good clinical value in identifying acute abdomen, which helps to make correct pathological diagnosis, reduce misdiagnosis rate, and has no radiation and noninvasive. Therefore, it is worth further use in clinical application.</em></p>
Highlights
Acute abdomen is caused by rapid pathological changes of peritoneum, abdominal cavity and pelvic organs and organs, resulting in acute appendicitis, acute intestinal obstruction and other diseases
In the case of misdiagnosis, we summarize the reason and analysis
Among 15 miss-diagnostic cases of acute appendicitis, 10 cases were not in the normal anatomical position, 3 cases were in the pelvic cavity, 5 cases were in the posterior part of the cecum, and 2 cases were located in the lateral part of the cecum
Summary
Acute abdomen is caused by rapid pathological changes of peritoneum, abdominal cavity and pelvic organs and organs, resulting in acute appendicitis, acute intestinal obstruction and other diseases. The causes usually include inflammatory infection, abdominal bleeding, vascular disease and so on. The patient with acute abdomen has a rapid and varied condition (Paduszynska, Celnik, & Pomorski, 2012). It is of great significance to improve the diagnosis of acute abdomen in the treatment of acute abdomen. Ultrasonic diagnosis of patients with acute abdomen has achieved good clinical results, and the results are reported as follows.
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