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目的分析大动脉炎误诊原因,以期提高早期确诊率。方法回顾性分析16例大动脉炎患者的临床资料。结果16例患者中,首次就诊即确诊的只有4例,其余12例在入院前均被误诊。结论误诊原因主要来自两个方面:对大动脉炎临床表现的多样性认识不足;缺乏全面体检,尤其脉搏、血压及血管杂音等的检查。
Objective To analyze the causes of misdiagnosis of aortitis, in order to improve the early diagnosis rate. Methods The clinical data of 16 patients with arteritis were retrospectively analyzed. Results Of the 16 patients, only 4 were diagnosed on first visit, and the remaining 12 were misdiagnosed before admission. Conclusions The causes of misdiagnosis mainly come from two aspects: the lack of understanding of the diversity of clinical manifestations of aortitis; lack of comprehensive physical examination, especially the examination of pulse, blood pressure and vascular murmur.