摘要
目的 :分析原发性胆汁性肝硬化 (PBC)的误诊原因。方法 :对 1991年 1月～ 2 0 0 4年 7月诊断PBC的病例资料进行回顾性分析。结果 :期间共收治PBC 112例 ,误诊 5 2例 ,误诊率为 46 43 % ,平均误诊时间 ( 4 9 3± 62 7)个月 ,多被误诊为隐源性肝炎或隐源性肝硬化、慢性乙型肝炎、药物性肝炎、脂肪肝、干燥综合征、类风湿关节炎、皮肤瘙痒症等疾病。结论 :PBC在我国可能并非少见 ,应进一步提高对本病的认识 。
Objective:To analyze the causes for misdiagnosis of primary biliary cirrhosis (PBC).Methods:A retrospective analysis was performed on clinical data about patients diagnosed with PBC between January,1991 and July,2004.Results:During that period of time,totally 112 cases of PBC were hospitalized,but 52 of them were misdiagnosed,accounting for 46.43%.The mean time needed for correct dignosis was 49.3±6.27 months.The misdiagnosis mainly included:cryptogenetic hepatitis or cirrhosis,chronic hepatitis B,drug induced hepatitis,fatty liver,Sjogren's syndrome,rheumatoid arthritis and cutaneous pruritus.Conclusions:PBC is not uncommon in China.Therefore,much more attention should be paid to understanding of the disease so as to reduce the misdianosis.
出处
《临床误诊误治》
2005年第2期90-91,共2页
Clinical Misdiagnosis & Mistherapy
关键词
肝硬化
胆汁性
误诊
肝炎
脂肪肝
瘙痒症
Cirrhosis,biliary
Misdiagnosis
Hepatilis
Fatty liver
Pruritus
