世界卫生组织提出了严格的登革出血热和登革休克综合征的临床诊断标准,并已被多数医师所采用。这些诊断标准包括2～7天的发热和出血表现(至少包括一次束臂试验阳性、肝肿大、血小板减少和血液浓缩)。在我们的经验中,严格遵守这些标准可能会导致许多登革热病人的漏诊。这些漏诊的登革热病人大多数属轻型,但在严重的甚至致命的病例中有些 The World Health Organization presents the clinical diagnostic criteria for severe dengue haemorrhagic fever and dengue shock syndrome and has been adopted by most physicians. These diagnostic criteria include 2 to 7 days of fever and bleeding manifestations (including at least one positive test of the arm, hepatomegaly, thrombocytopenia, and hemoconcentration). In our experience, strict adherence to these standards can result in missed diagnosis in many dengue patients. Most of these missed cases of dengue are light, but some of the serious and even fatal ones