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[目的]提高对腹泻出现较晚或腹泻轻微的轮状病毒(RV)肠炎的早期识别,以减少误诊。[方法]对误诊的RV肠炎30例进行回顾性分析。[结果]30例初诊时未排大便或大便量少,院前或入院时均被误诊,入院后完善各种检查,大便RV抗原检测均为阳性,住院1~2d后均出现蛋花样便、水样便,确诊为RV肠炎。[结论]对于腹泻出现较晚或腹泻轻微的RV肠炎,初诊时误诊率高,诊断时应结合发病季节、年龄、流行病学资料,尽早做大便RV抗原检测,以减少误诊。
[Objective] To improve the early identification of rotavirus (RV) enteritis with late diarrhea or mild diarrhea to reduce misdiagnosis. [Methods] 30 patients with misdiagnosed RV enteritis were retrospectively analyzed. [Results] 30 cases did not discharge stool or less stool at the time of first visit. All patients were misdiagnosed before hospitalization or after admission. Various examinations were perfected after admission, stool RV antigen test was positive, egg-like stool appeared after 1 ~ 2 days hospitalization, Watery stool, diagnosed as RV enteritis. [Conclusion] For RV enteritis with late diarrhea or mild diarrhea, the misdiagnosis rate is high at the initial diagnosis. Combined with the onset season, age and epidemiological data, early detection of RV antigen should be done to reduce misdiagnosis.