摘要
目的 探讨分析儿童矮小症的病因及误诊原因。方法 回顾分析 83例确诊病例的临床资料。结果 83例中 56例曾被误诊 ,误诊率 67.5%。误诊时间 3个月～ 1 0 a。按不同病因的临床特征分类为 :体型正常矮小 (生长速度可正常或减慢 ) ;体型异常 (体态不匀称或伴有外观畸形 )。结论 误诊原因在于矮小定义不清 ;未能进行生长发育监测 ;未及时发现生长迟缓 ;以及医生对病因分类及诊断思路不清 ,病史询问不详、未作家族史调查及仔细的体检 。
Objective To investigate the etiology and misdiagnosis of microsomia children.Method Data of 83 cases of microsomia children were analyzed retrospectively.Results 56 cases were misdiagnosed (67.5%)and the time interval of misdiagnosis lasted from 3 months to 10 years long.According to different clinical features,the causes were classified as follows: short stature with a normal figure (growth rate might be normal or retarded);and short stature with an abnormal figure (unbalanced development or being with malformed appearance).Conclusion The cause of misdiagnosis included: unclear definition of microsomia;lack of growth and development monitoring;unnoticed growth retardation at an early stage;and that the doctor in charge didn't know its classification of cause or could not make a clear analysis during diagnosis,or failed to ask a detailed history or to survey family history,or didn't make a detailed physical examination,or lack of full understanding of hereditary metabolic diseases.
出处
《中国误诊学杂志》
CAS
2002年第11期1608-1609,共2页
Chinese Journal of Misdiagnostics
关键词
发育障碍
诊断
病因学
误诊
诊断
矮小儿童
Developmental disbities/diagnosis
Developmental disabilities/etiology
Diagnostic errors
