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本文根据两年来收治的246例EHF中,遇到18例误诊患者,都是发生在发病早期。因发热、头痛、咽痛、咳嗽等主要症状为主,而误诊为上呼吸道感染者10例。因发热、腰痛、尿急、尿痛等症状为主,而误诊为急性肾盂肾炎4例。因恶心、呕吐、浮肿、少尿而误诊为急性肾小球肾炎者2例。因高热、头痛、呕吐、皮肤有瘀点而误诊为流行性脑脊髓膜炎者2例。 误诊的原因主要是没有全面地、综合地分析病情,而只注意某一个脏器的损害或某一、两个突出症状,片面而武断地做出了诊断。为了避免误诊,要注意以下几点:(1)重视流行病学资料,
According to the 246 cases of EHF admitted in the past two years, 18 cases of misdiagnosed patients were encountered in the early stage of the disease. Due to fever, headache, sore throat, cough and other main symptoms, and misdiagnosed as upper respiratory tract infection in 10 cases. Due to fever, back pain, urgency, dysuria and other symptoms based, and misdiagnosed as acute pyelonephritis in 4 cases. Due to nausea, vomiting, edema, oliguria misdiagnosed as acute glomerulonephritis in 2 cases. Due to high fever, headache, vomiting, skin petechia misdiagnosed as epidemic cerebrospinal meningitis in 2 cases. The main reason for misdiagnosis is not to comprehensively and comprehensively analyze the condition, but only pay attention to the damage of one organ or one or two prominent symptoms, and make a one-sided and arbitrary diagnosis. In order to avoid misdiagnosis, pay attention to the following points: (1) pay attention to epidemiological data,