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脑脓肿16例误诊教训

Precept of 16 Cases Diagnostic Errors on Brain Abscess
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摘要 目的 :提高脑脓肿的诊断水平。方法 :回顾性分析 1994年 6月~ 1998年 8月将脑脓肿误诊为脑肿瘤的 16例临床资料 ,包括临床表现、CT扫描及周围血象检查。结果 :16例中 12例被误诊为脑胶质瘤 ,4例误诊为转移瘤。结论 :详细询问病史和前驱症状 ,充分认识脑脓肿的不典型临床特征和CT表现 ,对临床信息加以全面综合的分析 ,是减少脑脓肿误诊的有效措施。 Objective:To improve the diagnostic level on brain abscess. Methods:A retrospective investigation was conducted on 16 cases of clinical data about misdiagnosing brain abscess as brain tumor from June,1994 to August,1998,which included the clinical manifestation,CT scaning and the surrounding blood image examination.Results:Among the 16 cases,12 were misdiagnosed as gliomas,the other 4 as matastatic tumor.Conclusion:The author suggested that investigate detaily the history of the disease and the previous symptoms,realize thoroughly the untypical clinical characteristics and CT manifestation,and analysed comprehensively the clinical information,are effective measures of decreasing the diagnosis errors on brain abscess.
出处 《湖北医科大学学报》 2000年第2期142-143,共2页
关键词 脑脓肿 诊断 误诊 brain abscess/DI diagnostic errors
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