随着人民生活水平的不断提高和卫生条件的不断改善，白喉的发病率逐年有所下降。一般医务人员对普通型白喉病人警惕性较高，容易作出诊断；但对颈部皮下组织水肿，形如“牛颈”而呈现白喉特殊中毒表现的重型或极重型的白喉病人，在基层部分医务人员中往往容易产生误诊。我院自1 With the continuous improvement of people’s living standards and the improvement of sanitary conditions, the incidence of diphtheria has declined year by year. General medical staff of ordinary diphtheria patients with high vigilance, easy to make a diagnosis; but on the neck subcutaneous edema, shaped like a “cow neck” and showing the performance of diphtheria special poisoning severe or very severe diphtheria patients at the grassroots level of medical People are often prone to misdiagnosis. Our hospital since 1