摘要
目的探讨小儿长期发热误诊的原因。方法对2000年5月-2005年10月住院治疗的28例长期发热误诊患儿的临床资料作回顾性分析。结果28例中误诊为上呼吸道感冒13例,败血症9例,肺炎6例。误诊原因主要是临床表现不典型、一些必要的实验室检查不及时进行以及滥用抗生素等。结论全面系统的病史采集和体格检查并及时进行必要的实验摩检查,可减少误诊率。
Objective To explore the reason of miscliagnosis of children with long-time fever. Methods Clinical data of misdiagnosis of 28 children with long-time fever were retrospectively analyzed. Results Among 28 cases were misdiagnosticated,there are 13 cases misdiagnosis as upper respiratory tract cold, 9 cases misdiagnosis as septemia, 6 cases misdiagnosis as pneumonia. The reason of misdiagnosis were that clinical manifestation was not typical, some necessary laboratory examination were not done in time, misuse antibiotics and glucocorticosteroid result in that clinical situation was not typical. Conclusion It can decrease misdiagnosis rate and increase final diagnosis rate by complex analysis of systemic history-taking and physical check-up, laboratory examination in time.
出处
《新乡医学院学报》
CAS
2006年第2期195-196,共2页
Journal of Xinxiang Medical University
关键词
发热
小儿
误诊
fever
children
misdiagnosis