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我站于1980年1月至1982年8月共收治经住院确诊的流行性出血热(以下简称出血热)82例,其中入院时曾一度误诊者17例,误诊率为20.7％。误诊为重型感冒5例,急性胃肠炎3例,尿路感染2例,疟疾2例,大叶性肺炎1例,肠伤寒1例,急性肾炎1例,血小板减少性紫癜1例,慢性胆囊炎急性发作1例,计九种疾病。现将其中在农村基层医院最易误诊的6例作一介绍,并分析其误诊的原因。
From January 1980 to August 1982, I totally treated 82 cases of epidemic hemorrhagic fever diagnosed by hospitalization (hereinafter referred to as hemorrhagic fever). Among them, 17 cases were misdiagnosed at admission, the misdiagnosis rate was 20.7%. 5 cases of misdiagnosis as severe cold, 3 cases of acute gastroenteritis, 2 cases of urinary tract infection, 2 cases of malaria, 1 case of lobar pneumonia, 1 case of typhoid fever, 1 case of acute nephritis, 1 case of thrombocytopenic purpura, 1 case of chronic gallbladder 1 case of acute inflammation, accounting for nine diseases. Now one of the most easily misdiagnosed 6 cases in rural grass-roots hospitals for an introduction, and analyze the causes of misdiagnosis.