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今将我院1987至1989年间误诊的11例肝吸虫病人报告如下: 1.一般资料 11例病人中,男9例,女2例,年龄14～53岁全部病人皆以黄疸及消化系症状来院。查体:肝肿大,肝功能有不同程度的改变。其中误诊为病毒性肝炎9例,误诊为原发性肝癌2例。经询问生活史和便查肝吸虫卵阳性而确诊。口服吡喹酮,全部治愈,平均延误诊治时间35天。 2.典型病例崔某,男,53岁。因逐渐消瘦2个月,黄疸半个月,于1988年11月5日来院。2个月前自觉乏力,腹胀,进食略减,肝区疼痛,皮肤瘙痒,便色灰白。查:体温36.5℃,脉搏72次/分,血压17.1/10.7kPa,神清,消瘦,慢性病容,巩膜及皮肤黄染;肝在右肋缘下触3～4cm,质地
11 cases of misdiagnosed patients in our hospital from 1987 to 1989 were reported as follows: 1. General Information 11 patients, 9 males and 2 females, all aged 14 to 53 patients with jaundice and digestive symptoms to the hospital . Physical examination: hepatomegaly, liver function have varying degrees of change. Which misdiagnosed as viral hepatitis in 9 cases, misdiagnosed as primary liver cancer in 2 cases. After asking life history and then check liver flu egg positive and diagnosed. Oral praziquantel, all cured, the average delay in diagnosis and treatment of 35 days. 2. Typical cases Choi, male, 53 years old. Due to gradual weight loss 2 months, jaundice half a month, on November 5, 1988 to the hospital. 2 months ago, conscious fatigue, abdominal distension, eating slightly reduced, liver pain, itchy skin, it color gray. Check: temperature 36.5 ℃, pulse 72 beats / min, blood pressure 17.1 / 10.7kPa, Shen Qing, weight loss, chronic disease, sclera and skin yellow dye; liver in the right costal margin touch 3 ~ 4cm, texture