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目的总结慢性肾功能衰竭误诊原因、注意事项及预防。方法分析26例慢性肾功能衰竭临床资料。结果误诊为营养不良性贫血13例,慢性消化系统疾病9例,心力衰竭2例,癔病2例。26例患者经治疗,好转21例,无效4例,死亡1例。结论慢性肾功能衰竭起病隐匿,表现复杂,临床上出现无明显原因可以解释消化、呼吸、循环、血液、神经等多系统症状时,应考虑到有慢性肾功能衰竭的可能性,避免漏、误诊。
Objective To summarize the causes, precautions and prevention of misdiagnosis of chronic renal failure. Methods Clinical data of 26 patients with chronic renal failure were analyzed. Results misdiagnosed as malnutrition anemia in 13 cases, 9 cases of chronic digestive diseases, heart failure in 2 cases, 2 cases of hysteria. Twenty-six patients were treated, 21 were improved, 4 were ineffective, and 1 died. Conclusion Chronic renal failure occult onset, complex performance, there are no clinically significant reasons to explain digestive, respiratory, circulatory, blood, nerves and other multi-system symptoms, should consider the possibility of chronic renal failure, to avoid leakage, Misdiagnosis.