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目的:对颌面颈部猫抓病(cat-scratch disease,CSD)的临床表现、诊断和治疗进行探讨,以提高猫抓病的诊疗水平。方法:对2002—2009间收治的11例颌面颈部猫抓病的临床资料进行回顾性分析。结果:11例CSD患者误诊腮腺肿瘤2例,下颌下肿块1例,淋巴结炎3例,淋巴结核1例,恶性淋巴瘤2例,颈部肿块1例,颈部转移癌1例;误诊的主要原因为对CSD的临床认识不足,遗漏患者被猫、犬抓咬伤史以及医师习惯思维。结论:猫抓病的诊断较困难,应详细询问猫、犬抓伤病史和豢养史,病变淋巴结切除活检是诊治本病的关键。
Objective: To investigate the clinical manifestation, diagnosis and treatment of cat-scratch disease (CSD) in maxillofacial neck and neck to improve the diagnosis and treatment of cat scratch disease. Methods: The clinical data of 11 cats with maxillofacial and neck cats admitted between 2002 and 2009 were analyzed retrospectively. Results: Of the 11 patients with CSD, 2 were misdiagnosed as parotid tumors, 1 was submandibular mass, 3 were lymphadenitis, 1 was lymphadenitis, 2 was malignant lymphoma, 1 was cervical mass and 1 was cervical metastasis. The main misdiagnosis The reason for the lack of clinical knowledge of CSD, missing patients were cats, dogs, bites and history of physician accustomed to thinking. Conclusion: Cat scratch disease diagnosis is more difficult, should be asked in detail about the history of cats and dogs scratching history and support history, diseased lymph node biopsy is the key to diagnosis and treatment of the disease.