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伤寒的临床表现十分复杂,容易发生误诊,国内统计误诊率为9.6～16.9％,本院1年来收治伤寒病人中资料较完整的420例,其中误诊38例,分析如下。误诊情况误诊为脾包膜下破裂1例,肺炎3例,急性支气管炎2例,肺结核、支气管内膜结核各1例,脑膜脑炎1例,细菌性痢疾5例,风湿热4例,阑尾穿孔2例,溃疡穿孔3例,“恶网”1例,肝炎4例,肝脓疡1例,疟疾1例,流感3例,急性胃肠炎2例,还有3例被误诊为病毒感染。
The clinical manifestations of typhoid fever is very complicated and prone to misdiagnosis. The domestic misdiagnosis rate is 9.6-16.9%. There are 420 cases with more complete data in typhoid fever in our hospital in one year, of which 38 cases are misdiagnosed as follows. Misdiagnosis was misdiagnosed as splenic capsule rupture in 1 case, pneumonia in 3 cases, acute bronchitis in 2 cases, tuberculosis, bronchial invader tuberculosis in 1 case, meningoencephalitis in 1 case, bacillary dysentery in 5 cases, rheumatic fever in 4 cases, appendix 2 cases of perforation, 3 cases of ulcer perforation, 1 case of “nets”, 4 cases of hepatitis, 1 case of liver abscess, 1 case of malaria, 3 cases of influenza, 2 cases of acute gastroenteritis and 3 cases were misdiagnosed as viral infection .