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小儿结核性脑膜炎(下称结脑)是容易引起误诊的一种严重疾病。为了从误诊中吸取经验教训,提高诊断水平,现将本院1965～1979年住院治疗的结脑62例中的42例误诊原因,摘要介绍7例如下: 一、因发热误诊为伤寒: 例1.陆××,女,6岁,因不规则发热一月余入院。表现为弛张热型,曾有不规则呕吐,在当地医院以“败血症”处理无效转入本院。入院诊断为“伤寒”。体检精神呆板,无其他明显阳性体征。用SMZco等抗菌药物治疗无效。血象基本正常,血培养、血肥达均阴性。
Children with tuberculous meningitis (hereinafter referred to as knot brain) is easily lead to misdiagnosis of a serious disease. In order to learn from the misdiagnosis of lessons learned and improve the level of diagnosis, now hospitalized from 1965 to 1979, 42 cases of knot brain tuberculosis misdiagnosis in 42 cases, summarized in 7 cases as follows: First, due to fever misdiagnosed as typhoid fever: Example 1 Lu × ×, female, 6 years old, admitted to hospital for more than one month due to irregular fever. The performance of the remission type, had irregular vomiting, in the local hospital to “sepsis” invalid treatment transferred to the hospital. Admission diagnosed as “typhoid fever.” Physical examination was dull, no other obvious positive signs. Treatment with SMZco and other antibiotics is invalid. Blood as normal, blood culture, blood fat up to negative.