摘要
目的 :探讨致死性紧张综合征误诊和误治的有关因素。方法 :作者依有关文献的症状群病因诊断标准为依据 ,将会诊所见其他科和精神科的致死性紧张综合征 15例误诊病例进行了系统分析。结果 :提示 15例中 10例综合医院病例皆未确定致死性紧张综合征的诊断 ,病因学互为误诊率为 10 0 %。专科医院误诊病例 5例中有 2例精神分裂症、2例恶性综合征均误诊为散发性脑炎 ,另 1例将中毒性肺炎误诊为紧张型精神分裂症。 15例中死亡 2例 ,病死率为 13.3%。结论 :致死性紧张综合征为跨学科的错综复杂的综合征 ,且为多因学说 ,而人为因素成为误诊的主要因素之一 ,不仅专科医生而且综合医院医生也需要掌握 ,以防误诊。
Objective:To explore relevant factors of misdiagnosis and malpractice of lethal catatonic syndrome(LC).Methods:15 of LC patients misdiagnosed were collected from consultation and analysed systematicly,according to etiological diagnosis criteria of symptoms in document concerned.Results:It shows 10 case of these from general hospital,diagnosis of these case was indefinite,but all were misdiagnosis.Etiological misdiagnosis rate is 100%.5 patients from special hospital,2 case of schizophrenia and 2 case of malignant syndrome all were misdiagnosis into sporadic leukoencephalitis,1 case of toxic pneumonia was misdiagnosis into catatonic schizophrenia.2 case of 15 died.The fatality rate is 13.3%.Conclusion:LC is a trans department complicated syndrome caused by multiple factors.But artifical factors is one of the principal factors.To avoid misdiagnosis,all physician (including in the special and in general hospital)should noticed the disease LC.
出处
《中国误诊学杂志》
CAS
2001年第1期48-49,共2页
Chinese Journal of Misdiagnostics
关键词
紧张症
诊断
治疗
误诊
治疗失败
catatonia/diagnosis
catatonia/therapy
diagnostic errors
treatment failure
