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在目前诊断条件下,大家公认:如不经详细的询问病史、细致的检查体格、必要的测定肝功,以及一定时间的观察,往往容易将非传染性肝炎所致的肝肿大(或生理性肝在肋下触及),胃肠疾患、肺与胸膜疾患等,误诊成无黄疸型传染性肝炎(以下称无黄疸型肝炎)。我院自1960年1月至1961年8月,共接收卫生营诊断为无黄疸型肝炎165例,经住院检查结果,其中证实确为其它疾病者43例,占26%。本文特将误诊病例作一分析,并略谈几点体会如下。误诊病例分析(一)寄生虫疾患:(1)瘧疾10例。全有瘧疾既往史。入院时,其中8例主诉头昏、乏力、两肋隐痛等,均无明显消化道症状,先后有5例于血片中找到瘧原虫,另3例根据1-3月的观察,亦可确诊为瘧疾。除2例有寒战、
Under the current diagnostic conditions, it is generally acknowledged that it is often easy to treat non-communicable hepatitis-induced hepatomegaly (or physiology) without detailed medical history, detailed physical examination, necessary measurement of liver function, and observation of a certain period of time Sexual liver touched in the ribs), gastrointestinal disorders, lung and pleural disorders, misdiagnosed as jaundice-type infectious hepatitis (hereinafter referred to as jaundice hepatitis). In our hospital from January 1960 to August 1961, a total of 165 cases of jaundice-free hepatitis were admitted to the health camp. After hospitalization, 43 confirmed cases were confirmed as other diseases, accounting for 26%. This article will misdiagnosed cases as an analysis, and talk about a few experiences are as follows. Misdiagnosis case analysis (a) parasitic diseases: (1) 10 cases of malaria. All have history of malaria. Admission, 8 cases complained of dizziness, fatigue, two ribs hidden pain, no obvious gastrointestinal symptoms, there have been 5 cases found in blood films of Plasmodium, the other 3 cases based on the observation of January to March can also be diagnosed For malaria. In addition to 2 patients have chills,