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目的:分析基层医院农药中毒误诊原因。方法:回顾我院1995-02/2005-02误诊的72例农药中毒患者的临床资料,分析误诊情况。结果:误诊疾病分布:呼吸系统疾病22例,消化系统疾病18例,食物中毒11例,心血管疾病9例,神经系统疾病8例,低血糖昏迷2例,休克2例。病因分布:有机磷农药中毒39例,拟除虫菊脂类农药中毒7例,有机氮类农药中毒4例,氨基甲酸酯类农药中毒6例,有机氯类农药中毒2例,除草剂中毒5例,杀鼠药中毒9例。结论:农药中毒在基层医院遇到较多,但误诊率较高,通过对本组病例误诊结果进行分析探讨,借以提高临床医生对本类疾病的认识。
Objective: To analyze the causes of misdiagnosis of pesticide poisoning in primary hospitals. Methods: The clinical data of 72 cases of pesticide poisoning misdiagnosed in our hospital from February 1995 to February 2005 were retrospectively analyzed to analyze the misdiagnosis status. Results: The distribution of misdiagnosed diseases: 22 cases of respiratory diseases, 18 cases of digestive diseases, 11 cases of food poisoning, 9 cases of cardiovascular diseases, 8 cases of nervous system diseases, hypoglycemic coma in 2 cases and shock in 2 cases. Etiology distribution: 39 cases of organophosphate pesticide poisoning, pyrethroid pesticide poisoning in 7 cases, organic nitrogen pesticide poisoning in 4 cases, carbamate pesticide poisoning in 6 cases, organochlorine pesticide poisoning in 2 cases, herbicide poisoning in 5 cases, Rodenticide poisoning in 9 cases. Conclusion: Pesticide poisoning encountered more problems in primary hospitals, but the rate of misdiagnosis was higher. By analyzing the results of misdiagnosis in this group of cases, we can improve clinicians’ understanding of these diseases.