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我院儿科自1988年8月～1988年10月共收治伤寒82例,其中误诊16例;包括误诊为上呼吸道感染5例;败血症3例;支气管肺炎3例;病毒性脑炎1例;急性肝炎1例;风湿热2例;阑尾炎1例。一、误诊原因分析本组病例临床表现多变,或表现为某一系统疾病,或以并发症为突出表现,若不作深入细致分析,极易误诊。1.因发热、咽痛、头痛误诊为上感者5例,均曾用抗生素、退热剂治疗不见效,血象偏低其中3例有恶心、呕吐、腹泻等程度不同的胃肠道症状
82 cases of typhoid fever were treated in our hospital from August 1988 to October 1988, including 16 cases of misdiagnosis, including 5 cases of upper respiratory tract infection, 3 cases of sepsis, 3 cases of bronchopneumonia, 1 case of viral encephalitis, 1 case of acute encephalitis 1 case of hepatitis, 2 cases of rheumatic fever and 1 case of appendicitis. First, the analysis of misdiagnosed The clinical manifestations of this group of patients changing, or as a system disease, or to highlight the performance of complications, if not for in-depth and detailed analysis, easily misdiagnosed. 1 due to fever, sore throat, headache, misdiagnosed as the upper case in 5 cases, have been treated with antibiotics, antipyretics ineffective, low blood in 3 cases of nausea, vomiting, diarrhea and other symptoms of varying degrees of gastrointestinal