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目的对被误诊的布鲁氏菌病患者进行实验室确诊和临床治疗。方法采集5例疑似布鲁氏菌病患者血清标本,参照国家布鲁氏菌病诊断标准,应用皮内变态反应、试管凝集试验(SAT)、虎红平板凝集试验(RBPT)、二巯基乙醇凝集反应(2-ME)和血培养等方法对其进行实验室确诊,对确诊患者应用中西结合方法进行临床治疗。结果 5例被外院误诊的病例经实验室诊断,均为布鲁氏菌病患者,经中西结合治疗,患者临床症状消失,达到出院标准。结论实验室检测能为临床诊断布鲁氏菌病提供重要的依据,中西结合疗法能有效治疗布鲁氏菌病。
Objective To confirm the laboratory diagnosis and clinical treatment of brucellosis patients who have been misdiagnosed. Methods Serum samples from 5 suspected brucellosis patients were collected. According to the diagnostic criteria of brucellosis in the country, the intradermal allergy, SAT, RBPT and dimercaptoethanol agglutination Reaction (2-ME) and blood culture methods such as laboratory diagnosis of them, the diagnosis of patients with Chinese and Western methods for clinical treatment. Results Five cases misdiagnosed by the hospital were diagnosed by laboratory. All of them were patients with brucellosis. After treatment with Chinese and western medicines, the clinical symptoms disappeared and reached the discharge standard. Conclusion Laboratory tests can provide an important basis for the clinical diagnosis of brucellosis. Integrative treatment can effectively treat brucellosis.