不典型的慢性肾功能不全易漏误诊,为吸取教训,现将我院所遇16例漏误诊病例中的典型病例报告如下。一、以闭经为主要表现误诊3例女患,21岁,未婚。15岁月经来潮,平时月经周期,经量均正常。三年来一直闭经,先后多次在大医院妇科就诊,行人工周期治疗无效,后又服中药仍无疗效。近年来三多一少症状逐渐明显,而再次来院复诊。查尿糖(++++)、血糖15.7mmol/L、BUN、Cr均增高。才诊断糖尿病性肾病并肾功能不全。本例误诊原因:主要是对糖尿病引起的内分泌功能紊乱而致继发性闭经认识不足。二、以贫血为主要表现误诊5例男患,56岁,农民。十多年来头晕、乏力、纳差逐渐加重。几次查出钩虫卵,先后多次驱虫与补血治疗,最后复查虫卵(-),因病情加重而入院。入 Atypical chronic renal insufficiency missed misdiagnosis, to learn the lesson, now 16 cases of misdiagnosed cases in our hospital typical cases are reported as follows. First, amenorrhea as the main misdiagnosis of 3 cases of female patients, 21 years old, unmarried. 15 years of menstrual cramps, usually menstrual cycle, by volume normal. Has been amenorrhea for three years, has repeatedly in the hospital gynecological treatment, the line of artificial cycle of treatment is invalid, after taking medicine is still no effect. In recent years, more and more symptoms of a little more obvious, but again to hospital referral. Check urine (++++), blood glucose 15.7mmol / L, BUN, Cr were increased. Diagnosed with diabetic nephropathy and renal insufficiency. Misdiagnosis in this case causes: mainly due to endocrine disorders caused by diabetes caused by lack of awareness of secondary amenorrhea. Second, anemia as the main misdiagnosis of 5 cases of male patients, 56 years old, peasants. For more than a decade dizziness, fatigue, anorexia gradually increased. Several hookworm eggs detected, has repeatedly de-worming and blood treatment, the last review of eggs (-), due to illness and admission. Into