目的：分析原发性肠脂垂炎（ PEA）的临床特点和误诊原因。方法对2010年1月—2015年8月首都医科大学宣武医院急诊科诊治的10例PEA患者的临床资料进行回顾性分析。结果10例PEA患者，男6例，女4例，年龄18～81岁。临床表现均有明确腹痛，均经腹部强化CT检查确诊为PEA。误诊为急性阑尾炎7例，盆腔炎2例，局限性腹膜炎1例。均给予不必要的抗生素治疗，确诊后停用抗生素给予对症治疗后均好转。结论 PEA是一种良性自限性疾病，不需要抗生素治疗，临床应加强认识，避免误诊。%Objective To analysis clinical characteristics and misdiagnosis reason of primary intestinal fat hanging in-flammation ( PEA) .Methods From 2010 January to 2015 August, the clinical data of 10 cases of patients with PEA in emer-gency department of Xuanwu Hospital were retrospectively analyzed.Results 10 cases of PEA patients, 6 males and 4 fe-males, aged from 18 to 81 years old.Clinical manifestations are clearly abdominal pain, and they were confirmed as PEA by contrast enhanced abdominal CT examination.7 cases misdiagnosed as acute appendicitis, 2 cases as pelvic inflammatory dis-ease, the limitations of peritonitis in 1 case.They were stopped given unnecessary antibiotics after diagnosis but with symptom-atic treatment, all patients symptom were improved after treatment.Conclusion PEA is a benign self-limiting disease, do not need antibiotic treatment, clinical awareness should be strengthened to avoid misdiagnosis.
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