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[急腹症与毒蛛咬伤的鉴别诊断]

[Differential diagnosis of acute abdomen and latrodectism].

作者信息

Torregiani F, La Cavera C

机构信息

Università di Genova, Facoltà di Medicina e Chirurgia, Istituto di Medicina Legale e delle Assicurazioni.

出版信息

Minerva Chir. 1990 Mar 15;45(5):303-5.

PMID:2198491
Abstract

Among the causes of pseudo-acute abdomen the Latrodectism, or poisoning by malmignatta spider Latrodectus mactans tredecimguttatus bite, is often forgotten in Italy, Unfortunately, it is common knowledge that its severe clinical picture sometimes induces the surgeon to make diagnostic mistakes, and to unnecessary laparotomy. The Authors briefly describe the toxic syndrome and supply the first principles for a correct differential diagnosis to acute abdomen.

摘要

在假性急腹症的病因中,意大利常常忽略了黑寡妇蜘蛛咬伤中毒,即被红斑寇蛛(Latrodectus mactans tredecimguttatus)咬伤中毒。遗憾的是,大家都知道其严重的临床表现有时会导致外科医生做出诊断错误并进行不必要的剖腹手术。作者简要描述了中毒综合征,并提供了对急腹症进行正确鉴别诊断的基本原则。

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