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伤寒、副伤寒为本区夏秋季节常见的消化道传染病,典型者诊断不难,但往往由于临床症状“不典型”,或以并发症为主要表现而引起误诊漏诊。本院1971～1980年共收治伤寒、副伤寒500例,其中误诊43例,包括外院转来本院前误诊11例(伤寒26例,副伤寒甲2例,副伤寒乙15例)误诊率8.6％,为吸取教训,提高诊断水平,本文就我们遇到的误诊病例进行分析。误诊情况:本组误诊病种达14种之多。误诊为上呼吸道感染10例,泌尿系感染、急性风湿热各5例,急性胆囊炎4例,菌痢、疟疾、病毒性肝炎各3例,肺部感染、肺外结核各2例,急性粒细胞白血病、药
Typhoid and paratyphoid are common digestive diseases in summer and autumn in this area. It is not difficult to diagnose typical digestive tract diseases. However, they often cause misdiagnosis and missed diagnosis due to clinical symptoms of “atypical” or to the main manifestation of complications. The hospital from 1971 to 1980 were treated typhoid and paratyphoid 500 cases, of which 43 cases were misdiagnosed, including outside the hospital transferred to the hospital before misdiagnosis in 11 cases (typhoid fever in 26 cases, 2 cases of paratyphoid fever, paratyphoid A, 15 cases) misdiagnosis rate of 8.6 %, In order to learn lessons and improve the level of diagnosis, this article analyzes the misdiagnosis cases we encountered. Misdiagnosis: This group misdiagnosed as many as 14 species. Misdiagnosed as upper respiratory tract infection in 10 cases, urinary tract infection, acute rheumatic fever in 5 cases, 4 cases of acute cholecystitis, bacillary dysentery, malaria, viral hepatitis in 3 cases, pulmonary infection, pulmonary tuberculosis in 2 cases, acute granuloma Cell leukemia, medicine