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在流行性乙型脑炎流行期间,(以下简称乙脑)很多急性中枢神经系统感染性疾病,易与乙脑相混淆。特别是早期病人更易造成误诊。我疗区1980年及1981年两年间共收治乙脑病人228例,误诊28例,误诊率为12.3%,为总结经验教训,现将误诊之28例分析如下。一、误诊病例的临床资料分析 1.28例误诊为乙脑病例中,结核性脑膜炎14例,脑出血4例,蛛网膜下腔出血3例,散发性脑炎、腮腺炎脑膜脑炎各2例,化脓性脑膜炎、高血压脑病、化脓性扁桃腺炎各1例。
During the epidemic of Japanese encephalitis (JE), many acute central nervous system infections are easily confused with JE. Especially early patients are more likely to cause misdiagnosis. My treatment area in 1980 and 1981, a total of 228 cases were treated JE patients, misdiagnosis in 28 cases, the misdiagnosis rate was 12.3%, to sum up the experience and lessons learned, now misdiagnosed 28 cases as follows. First, the misdiagnosed clinical data analysis 1.28 cases misdiagnosed as JE cases, 14 cases of tuberculous meningitis, cerebral hemorrhage in 4 cases, 3 cases of subarachnoid hemorrhage, sporadic encephalitis, mumps meningoencephalitis in 2 cases , Purulent meningitis, hypertensive encephalopathy, suppurative tonsillitis in 1 case.