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目的分析糖尿病漏诊的原因,提高对临床表现不典型的疾病的诊断准确率。方法对22例以慢性并发症或合并症为主要临床表现的糖尿病患者进行回顾性分析,对全部病人进行血糖和糖耐量检测。结果漏诊时间1月以内者2例,1月至1年者5例,1年至5年者11例,5年以上者4例。误诊为慢性胃肠炎者3例,误诊为尿路感染者10例,误诊为慢性视神经炎者1例,误诊为痤疮者4例,误诊为毛囊炎者2例。结论高度重视糖尿病的并发症和合并症,对疑似病人必须进行血糖和糖耐量检测。
Objective To analyze the causes of missed diagnosis of diabetes and improve the diagnostic accuracy of the disease with atypical clinical manifestations. Methods Twenty-two patients with diabetes mellitus who had chronic complications or comorbidities as the main clinical manifestations were retrospectively analyzed. Blood glucose and glucose tolerance were measured in all the patients. Results The time of missed diagnosis was 2 in 1 month, 5 in 1 month to 1 year, 11 in 1 year to 5 years and 4 in 5 years. Misdiagnosed as chronic gastroenteritis in 3 cases, misdiagnosed as urinary tract infection in 10 cases, misdiagnosed as chronic optic neuritis in 1 case, misdiagnosed as acne in 4 cases, misdiagnosed as folliculitis in 2 cases. Conclusions Attached great importance to the complications and complications of diabetes, for suspected patients must be blood glucose and glucose tolerance test.