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目的通过分析延迟诊断的肾综合征出血热(以下简称HFRS)病例,提高早期诊断率。方法回顾性分析我院10年内延迟诊断的HFRS78例发病早期临床资料。结果本组病例占同期全部病例的9.3%,大部分缺乏典型的流行病学特点,且合并有慢性疾病,发病早期缺乏特异性表现,临床表现复杂、多样。结论要做到早诊断,临床医师面对发热病人时,关键是要想到HFRS,如果血小板少、有蛋白尿及有肝、肾功能损害要高度怀疑HFRS,反复查出血热抗体IgM确诊。
Objective To improve the early diagnosis rate of hemorrhagic fever with renal syndrome (hereinafter referred to as HFRS) by analyzing delayed diagnosis. Methods A retrospective analysis of 10 cases of delayed diagnosis of HFRS78 cases of clinical data. Results The patients in this group accounted for 9.3% of all the cases in the same period. Most of them lacked typical epidemiological features, combined with chronic diseases. The early onset lacked specific performance. The clinical manifestations were complicated and varied. Conclusion To achieve early diagnosis, clinicians face fever patients, the key is to think of HFRS, if less platelets, proteinuria and liver and kidney damage should be highly suspected HFRS, repeated detection of hematological antibody IgM diagnosis.