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脓血便的病因很多,若诊断时考虑不全面,极易误诊。在我院1988年～1990年期间住院的496例细菌性痢疾(菌痢)中,有43例误诊,误诊率占3.7%。本文就43例误诊病例教训作一分析。临床资料男30例,女13例。年龄1岁以内16例,1～2岁12例,16～40岁11例,41～59岁4例。43例病例中,最后确诊为鼠伤寒沙门氏菌肠炎19例,肠套叠6例,其它肠炎5例,直肠癌4例,急性阑尾炎和慢性结肠炎各2例,急性坏死性肠炎1例,其它疾病4例(败血症、支气管肺炎、急性支气管炎和散发
There are many causes of pus and blood stool, if the diagnosis is not considered comprehensive, easily misdiagnosed. Among 496 cases of bacillary dysentery (bacillary dysentery) hospitalized in our hospital from 1988 to 1990, 43 cases were misdiagnosed with a misdiagnosis rate of 3.7%. In this paper, 43 cases of misdiagnosed cases for an analysis. Clinical data of 30 males and 13 females. 16 cases were under 1 year old, 12 cases were 1-2 years old, 11 cases were 16-40 years old and 4 cases were 41- 59 years old. Among the 43 cases, 19 cases were confirmed as Salmonella typhimurium enteritis, 6 cases were intussusception, 5 cases were other enteritis, 4 cases were rectal cancer, 2 cases were acute appendicitis and chronic colitis, 1 case was acute necrotic enteritis and other diseases 4 cases (sepsis, bronchopneumonia, acute bronchitis and sporadic