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我院1980年1月至1985年1月收治349例流行性出血热(以下简称出血热)患者。误诊29例,误诊率为8.4％,为提高诊断水平,现将误诊病例分析如下。误诊病例中男21例,女8例;年龄17～61岁;误诊时间1～11天;有合并症的7例;有伴发病的3例。轻型12例,中型9例,重型5例,危重型3例。共死亡8例,其中危、重型7例,中型1例死于并发风心病。本组误诊病种达8种,误诊为上呼吸道感染11例、感染性休克4例、急性肾炎3例、肾盂肾炎3例、溃疡出血2例、败血症3例、血小板减少性紫癜2例、
Our hospital from January 1980 to January 1985 admitted to 349 cases of epidemic hemorrhagic fever (hereinafter referred to as hemorrhagic fever) patients. Misdiagnosis in 29 cases, misdiagnosis rate was 8.4%, in order to improve the level of diagnosis, misdiagnosis cases are now analyzed as follows. Misdiagnosed cases of 21 males and 8 females; aged 17 to 61 years; misdiagnosis time of 1 to 11 days; 7 cases of complications; associated with the disease in 3 cases. 12 cases were light, 9 cases were medium, 5 cases were heavy and 3 cases were critical. A total of 8 cases of death, of which critically ill, severe in 7 cases, 1 case of moderate died of concurrent rheumatic heart disease. The group misdiagnosed 8 kinds of diseases, misdiagnosed as upper respiratory tract infection in 11 cases, septic shock in 4 cases, acute nephritis in 3 cases, pyelonephritis in 3 cases, ulcer bleeding in 2 cases, sepsis in 3 cases, thrombocytopenic purpura in 2 cases,