论文部分内容阅读
肝豆状核变性临床表现复杂多样,误诊病例屡有发生。本文对167例误诊病例分析如下: 临床资料一、一般资料:本文收集我院和文献报道的有误诊记载的肝豆状核变性273例,男157例,女116例,男女之比为1.35:1。发病年龄2～62岁,在年龄记载完整的211例中,10岁以下37例(17.5％),11～15岁73例(34.6％),16～20岁34例(16.1％),21～25岁40例(19％),26～30岁13例(6.2％),31岁以上14例(6.6％),15岁以前占半数以上(52.1％)。二、误诊的疾病:本组273例,误诊167例,误诊率61.2％。误诊病种达34种以上,累及消化、神经精神、血液、运动、泌尿、内分泌、寄生虫、免疫和代谢等多个系统。
Hepatolenticular degeneration complicated and diverse clinical manifestations, misdiagnosis cases have occurred frequently. In this paper, 167 cases of misdiagnosed cases are as follows: Clinical data First, the general information: This collection of our hospital and literature reported misdiagnosis of Wilson’s disease documented in 273 cases, 157 males and 116 females, male to female ratio of 1.35: 1. The age of onset was from 2 to 62 years. Of the 211 patients with complete records of age, 37 (17.5%) were below 10 years of age, 73 (34.6%) were from 11 to 15 years old, 34 (16.1%) were from 16 to 20 years old, 25 (40%), 13 (6.2%) 26-30, 14 (6.6%) over 31, and more than half before the age of 15 (52.1%). Second, the misdiagnosis of the disease: the group of 273 cases, 167 cases of misdiagnosis, misdiagnosis rate of 61.2%. More than 34 misdiagnosed diseases, involving digestive, neuropsychiatric, blood, exercise, urinary, endocrine, parasitic, immune and metabolic systems.