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目的通过临床回顾性分析找出儿童急性中毒临床误诊原因,提供防误诊经验。方法对近10年入住扬州市江都人民医院的32例急性中毒误诊儿童的临床资料进行误诊原因分析。结果 32例中误诊为脑炎11例,重症肺炎5例,急性肾功能衰竭3例,癫痫发作6例,急性胃肠炎7例。结论儿童安全知识缺乏易出现急性中毒,及时正确诊断,是救治重症患儿提高抢救成功率的关键。
Objective To find out the causes of clinical misdiagnosis of children acute poisoning through clinical retrospective analysis and to provide anti-misdiagnosis experience. Methods The clinical data of 32 cases of misdiagnosed children with acute poisoning admitted to Jiangdu People ’s Hospital of Yangzhou in the recent 10 years were analyzed. Results In 32 cases, 11 cases were misdiagnosed as encephalitis, 5 as severe pneumonia, 3 as acute renal failure, 6 as epileptic seizure and 7 as acute gastroenteritis. Conclusion The lack of children’s safety knowledge is prone to acute poisoning and prompt diagnosis. It is the key to improve the success rate of rescue in critically ill children.