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我院于1984～1985年收治流行性出血热病人(简称出血热)120例,其中误诊8例,死亡3例。为了从误诊中吸取教训,提高本病的早期诊断水平,现将误诊的几种情况报道如下。一、以寒战、高热、腹痛、黄疸为突出表现,误诊为急性胆凌炎例1:女,58岁,农民,1984年10月20日入院。寒战、高热、右上腹持续性疼痛3天,巩膜黄染、头痛1天,不伴腰痛及眼眶痛。体检:体温39.5℃,血压90/70毫米汞柱。无酒醉貌,皮肤粘膜
In our hospital from 1984 to 1985 admitted to patients with epidemic hemorrhagic fever (referred to as hemorrhagic fever) in 120 cases, of which 8 were misdiagnosed and 3 died. In order to learn from misdiagnosis and improve the early diagnosis of the disease, now misdiagnosed several cases are reported as follows. First, to chills, fever, abdominal pain, jaundice as a prominent manifestation of misdiagnosed as acute gallbladder inflammation Example 1: Female, 58 years old, farmer, October 20, 1984 admitted to hospital. Chills, fever, persistent pain in the right upper quadrant for 3 days, scleral yellow dye, headache 1 day without back pain and orbital pain. Physical examination: body temperature 39.5 ℃, blood pressure 90/70 mm Hg. Drunk appearance, skin and mucous membranes