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1981～1985年我院在发病率较高地区收治儿童流行性出血热70例,其中18例在门诊或入院初期误诊为其他疾病,现将误诊原因初步探讨如下。一般资料本组70例中男49例,女21例,均符合1981年全国流行性出血热防治方案的诊断标准。其误诊18例中男10例,女8例。误诊率为25.7％。病程2～3天8例,4～5天5例,6～11天5例。18例中轻中型8例,重危型4例,非典型6例。误诊病种:上感6例,急性胃肠炎、伤寒各2例,败血症、胰腺炎、肾盂肾炎、急性肾炎、急性扁桃体炎、上消化道出血、钩体、肝炎各1例。
From 1981 to 1985, 70 cases of epidemic hemorrhagic fever in children were admitted to our hospital in the areas with higher incidence. Among them, 18 cases were misdiagnosed as other diseases during the outpatient or early admission period. The reasons for the misdiagnosis are as follows. General information The group of 70 patients, 49 males and 21 females, are in line with the 1981 national epidemic hemorrhagic fever prevention and treatment programs diagnostic criteria. 18 cases were misdiagnosed as male in 10 cases and female in 8 cases. Misdiagnosis rate was 25.7%. Course of 2 to 3 days in 8 cases, 4 to 5 days in 5 cases, 6 to 11 days in 5 cases. 18 cases of mild to medium in 8 cases, 4 cases of severe, atypical in 6 cases. Misdiagnosis of disease: 6 cases on the flu, acute gastroenteritis, typhoid fever in 2 cases, sepsis, pancreatitis, pyelonephritis, acute nephritis, acute tonsillitis, upper gastrointestinal bleeding, hook body, hepatitis in 1 case.