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目的:探讨海鲜过敏导致剧烈背痛的临床症状,减少误诊、漏诊。方法:对我院收治的以进食海鲜类引起剧烈背痛为主要表现的一例病例进行分析。结果:本例因出现背部疼痛,疼痛位于背部正中,呈持续性刀割样剧痛,接诊时首先考虑肺栓塞等疾病,而对患者全身皮肤潮红,双眼睑逐渐出现水肿等急性过敏反应的皮肤、黏膜改变被忽视。结论:本例提示,详细的病史采集和仔细的体格检查是正确诊疗疾病的前提,重视体格检查中出现的重要阳性体征和阴性体征是诊疗疾病的重要保证。
Objective: To investigate the clinical symptoms of severe acute back pain caused by seafood allergy, to reduce misdiagnosis and missed diagnosis. Methods: In our hospital admitted to eat seafood caused by severe back pain as the main performance of a case analysis. Results: In the present case, there was back pain and the pain was located in the middle of the back. The patient had persistent knife-like pain. At the time of admissions, we first considered the pulmonary embolism and other diseases. However, acute allergic reactions such as edema and eyelid appeared Skin, mucosal changes are ignored. Conclusion: This example suggests that careful medical history collection and careful physical examination are the prerequisites for proper diagnosis and treatment of diseases. Important positive signs and negative signs that appear during physical examination are important guarantees for diagnosis and treatment of diseases.