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目的探讨伤寒的误诊原因。方法回顾性分析2009年1月至2011年12月33例伤寒误诊患者的临床资料,并结合相关文献进行讨论。结果 33例患者误诊为流行性出血热(HFRS)11例,病毒性脑炎9例,败血症4例,支气管肺炎2例,风湿热2例,急性肠炎2例,恙虫病3例。结论由于伤寒患者症状不典型,临床表现多样化,并发症多,对伤寒认识不足是导致误诊的主要原因。
Objective To investigate the causes of misdiagnosis of typhoid fever. Methods The clinical data of 33 patients with typhoid fever who were misdiagnosed from January 2009 to December 2011 were retrospectively analyzed and discussed with relevant literatures. Results 33 patients were misdiagnosed as epidemic hemorrhagic fever (HFRS) in 11 cases, 9 cases of viral encephalitis, 4 cases of sepsis, 2 cases of bronchial pneumonia, 2 cases of rheumatic fever, 2 cases of acute enteritis and 3 cases of tsutsugamushi disease. Conclusion As typhoid fever patients with atypical symptoms, diverse clinical manifestations, complications and lack of understanding of typhoid fever is the main reason leading to misdiagnosis.