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目的分析艾滋病误诊的原因。方法回顾性分析我院2006年3月～2008年12月误诊的艾滋病31例临床资料。结果本组年龄22～72岁,其中:农民工21例、无业者5例、经性接触发病23例、有卖血史3例、吸毒2例、原因不详3例。其临床表现及实验室和器械检查复查多样,易误诊为呼吸道炎症或癌症、消化道炎症、血液病、肾功能不全、脑膜脑炎、肝硬化。31例经我院2次酶联免疫吸附初筛试验阳性,后经广西省疾控中心实验室确认。结论艾滋病临床表现复杂多样、无特异性,临床医生应深刻认识,提高警惕,对可疑病例详细询问病史,及时行HIV抗体初筛检测,至少查2次以上,以免误诊漏诊。
Objective To analyze the causes of misdiagnosis of AIDS. Methods The clinical data of 31 cases of misdiagnosed AIDS in our hospital from March 2006 to December 2008 were retrospectively analyzed. Results The age ranged from 22 to 72 years. Among them, there were 21 migrant workers, 5 unemployed persons, 23 cases of sexual contact, 3 cases of seizures, 2 cases of drug abuse and 3 cases of unknown cause. Its clinical manifestations and laboratory and equipment inspection review diverse, easily misdiagnosed as respiratory inflammation or cancer, gastrointestinal inflammation, blood diseases, renal insufficiency, meningoencephalitis, cirrhosis. 31 cases by our hospital 2 ELISA positive screening test, after the CDC laboratory in Guangxi Province confirmed. Conclusion Clinical manifestations of AIDS are complex and nonspecific. Clinicians should be deeply aware and vigilant. Patients should be asked about their medical history in detail. HIV antibody screening should be conducted at least twice in order to avoid misdiagnosis and missed diagnosis.