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本文提出了小儿伤寒易误诊为呼吸道疾病,如上呼吸道炎、肺炎,泌尿系疾病,如急性肾炎、急性尿路感染;以及血小板减少性紫癜,病毒性心肌炎,消化道出血,急性肠炎,肝炎等疾病.并揭示了误诊的主要原因是对小儿伤寒的特点不熟悉.为减少或避免误诊及时作出诊断,必须详细询问病史,仔细体检掌握小儿伤寒的临床特点,提高诊断率.
This article suggests that typhoid fever in children is easily misdiagnosed as respiratory diseases, such as upper respiratory tract inflammation, pneumonia and urinary diseases such as acute nephritis and acute urinary tract infection; and diseases such as thrombocytopenic purpura, viral myocarditis, gastrointestinal bleeding, acute enteritis and hepatitis It also revealed that the main reason of misdiagnosis is not familiar with the characteristics of typhoid fever in children.In order to reduce or avoid the misdiagnosis, it is necessary to make a detailed inquiry about the medical history and carefully check the clinical features of pediatric typhoid and improve the diagnosis rate.