败血症是临床上常见的严重的全身感染性疾病,病死率较高。近年来由于菌群的不断变异及抗生素的广泛应用,其临床表现复杂多变。为了提高本病的早期诊断水平,我们复习了资料较完整的100例败血症病历,发现漏误诊33例占33％,均为入院后未及时诊断,后经血培养证实者。误诊时间最短1天,最长21天,与国内报道基本一致。现结合有关文献做以简要分析讨论。 Sepsis is a common clinical serious systemic infection, high mortality. In recent years due to the continuous variation of bacteria and antibiotics widely used, the clinical manifestations of complex and changeable. In order to improve the early diagnosis of this disease, we reviewed the more complete data of 100 cases of septicemia and found 33 cases of misdiagnosis accounted for 33%, were not promptly diagnosed after admission, after blood culture confirmed. Misdiagnosis of the shortest 1 day, up to 21 days, basically consistent with the domestic reports. Now combined with the relevant literature to do a brief analysis and discussion.