摘要
对35例曾被误诊为其他疾病的流行性出血热(EHF)病例的诊疗过程及临床表现进行了分析,35例EHF患者曾误诊为上呼吸道感染15例,急性肾炎7例,血小板减少性紫癜、上消化道出血各3例,急性肝炎、白血病和急腹症各2例,脑炎1例;EHF临床表现复杂,疾病过程不典型,医生忽略了EHF流行病学特点和病史采集,未能及时检查及追踪实验室资料等是误诊的主要原因。重视流行病学调查、病史的采集、动态观察病情、全面的体格检查、特异性辅助检查是减少误诊的有效手段。
This paper probes the treatment processes and clinical manifestations of 35 cases of misdiagnosis of epidemic hemorrhagic fever （EHF）. 15 cases were misdiagnosed as an upper respiratory tract infection,7 were misdiagnosed as acute nephritis,3 were misdiagnosed as thrombocytopenic purpura,3 were misdiagnosed as upper gastrointestinal bleeding,2 were misdiagnosed as acute hepatitis,2 were misdiagnosed as leukemia,2 were misdiagnosed as an acute abdomen,1 was misdiagnosed as encephalitis. The clinical manifestations of EHF are complex and the disease＇s progression is atypical. The main reasons for misdiagnosis included doctors＇ ignorance of the characteristics of EHF epidemiology,failure to take a medical history,and failure to keep track of laboratory information. Effective measures to reduce misdiagnoses are as follows：emphasizing epidemiological studies,taking a medical history,dynamic observation of the disease,comprehensive physical examinations,and specific laboratory examinations.
出处
《中国病原生物学杂志》
CSCD
2010年第5期396-396,337,共2页
Journal of Pathogen Biology
关键词
流行性出血热
误诊
原因
Epidemic hemorrhagic fever
misdiagnosis
cause
