论文部分内容阅读
对35例曾被误诊为其他疾病的流行性出血热(EHF)病例的诊疗过程及临床表现进行了分析,35例EHF患者曾误诊为上呼吸道感染15例,急性肾炎7例,血小板减少性紫癜、上消化道出血各3例,急性肝炎、白血病和急腹症各2例,脑炎1例;EHF临床表现复杂,疾病过程不典型,医生忽略了EHF流行病学特点和病史采集,未能及时检查及追踪实验室资料等是误诊的主要原因。重视流行病学调查、病史的采集、动态观察病情、全面的体格检查、特异性辅助检查是减少误诊的有效手段。
The clinical course and clinical manifestation of 35 cases of epidemic hemorrhagic fever (EHF) who were misdiagnosed as other diseases were analyzed. 35 cases of EHF patients were misdiagnosed as upper respiratory tract infection in 15 cases, acute nephritis in 7 cases, thrombocytopenic purpura , Upper gastrointestinal bleeding in 3 cases, acute hepatitis, leukemia and acute abdomen in 2 cases, 1 case of encephalitis; EHF clinical manifestations of complex, the disease process is not typical, the doctor ignored the EHF epidemiological characteristics and medical history collection, failed to Timely inspection and tracking of laboratory data is the main reason for misdiagnosis. Emphasis on epidemiological surveys, medical history collection, dynamic observation of the disease, a comprehensive physical examination, specific ancillary examination is an effective means to reduce misdiagnosis.