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急性胃肠炎是消化系统发病率较高的疾病,尤以夏秋季节多见,其诊断一般不难。但临床上很多疾病可出现恶心、呕吐、腹泻症状,易与本病混淆而误诊。我院自1982～1984年共收治急性胃肠炎178例,其中急性菌痢误诊为急性胃肠炎11例,急性阑尾炎误诊为急性胃肠炎2例。为减少本病的误诊,本文对误诊病例作一简要的分析。误诊的11例急性菌痢病例,发病初1～2天,腹泻均为水样或糊样便,无脓血便,亦无明显的里急后重感,病人体温变化不明显,仅有3例出现低热。便化验只有少量白细胞,每高倍视野不超过10个,血常规白细胞总数及中性白细胞轻
Acute gastroenteritis is a high incidence of digestive diseases, especially in summer and autumn more common, the diagnosis is not difficult. However, many diseases in clinical nausea, vomiting, diarrhea symptoms, easily confused with the disease and misdiagnosis. In our hospital from 1982 to 1984 were treated 178 cases of acute gastroenteritis, of which acute dysentery misdiagnosed as acute gastroenteritis in 11 cases, acute appendicitis misdiagnosed as acute gastroenteritis in 2 cases. In order to reduce the misdiagnosis of this disease, this article makes a brief analysis of misdiagnosed cases. 11 cases of misdiagnosis of acute bacillary dysentery cases, early onset of 1 to 2 days, diarrhea were watery or paste-like stools, no sepsis, no significant tenesmus, the patient’s body temperature did not change significantly, only 3 cases of fever. Only a small amount of leucocyte test, no more than 10 high-power field of vision, the total number of leukocytes and neutrophil light