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1981年1月至1990年11月我们收治56例尿毒症,其中误诊23例,误诊率41％。值得临床医生注意。本组误诊病例中男14例,女19例,年龄17～73岁,平均44.6岁。现将其误诊原因分析如下。一、因慢性腹痛,黑便误诊为消化性溃疡4例,上消化道出血2例,胃炎1例。例1 患者男,68岁。上腹部持续性隐痛、反酸、间歇性黑便4个月。入院后胃镜检查见胃腔内有陈旧性积血、大弯部粘膜溃烂,经用甲氰咪哌治疗及纠正贫血等处理病情不见缓解,反渐加重,且出现抽搐、嗜睡。查血钾5.6mmol/L、钠127mmol/L、氯90mmol/L、
From January 1981 to November 1990, we treated 56 cases of uremia, of which 23 cases were misdiagnosed, the misdiagnosis rate was 41%. It is worth the attention of clinicians. Misdiagnosed cases in this group of 14 males and 19 females, aged 17 to 73 years, mean 44.6 years. The reason for the misdiagnosis is as follows now. First, due to chronic abdominal pain, black will misdiagnosed as peptic ulcer in 4 cases, 2 cases of upper gastrointestinal bleeding, gastritis in 1 case. Example 1 patient male, 68 years old. Continuous pain on the abdomen, acid reflux, intermittent black stool 4 months. Gastroscopy after admission to see the stomach cavity with old hemorrhage, bend the Department of mucosal ulceration, after treatment with cyromazine and correct anemia and other treatment did not alleviate the situation, the gradual increase, and convulsions, lethargy. Check potassium potassium 5.6mmol / L, sodium 127mmol / L, chlorine 90mmol / L,