论文部分内容阅读
目的本文旨在分析常见带状疱疹误诊情况,探讨误诊原因,为减少误诊提供临床证据支持。方法回顾性分析郑州大学第一附属医院2011年8月—2014年8月误诊的22例带状疱疹患者临床资料,分析其类型及误诊原因。结果临床上常误诊为心绞痛、肋间神经炎、急腹症、脑血管病以及颈椎病等,胸背部、腹部的发病部位误诊达63.6%,误诊为心绞痛最多占22.7%。结论带状疱疹误诊在临床工作中较为常见,尤其是首诊不在皮肤科的患者误诊率更高,我们通过分析22例带状疱疹临床误诊的原因,提高对此病的认识,警惕误诊的发生。
Objective This article aims to analyze the common misdiagnosis of herpes zoster, explore the causes of misdiagnosis and provide clinical evidence to reduce misdiagnosis. Methods The clinical data of 22 patients with herpes zoster who were misdiagnosed in the First Affiliated Hospital of Zhengzhou University from August 2011 to August 2014 were retrospectively analyzed. The types and causes of misdiagnosis were analyzed. Results Clinically misdiagnosed clinically as angina pectoris, intercostal neuritis, acute abdomen, cerebrovascular disease and cervical spondylosis and so on. The incidence of misdiagnosis of chest, back and abdomen was 63.6%, misdiagnosed as angina pectoris up to 22.7%. Conclusion Misdiagnosis of herpes zoster in clinical work is more common, especially in the first diagnosis of dermatology is not misdiagnosed in patients with higher rates of 22 cases of shunt by analyzing the causes of misdiagnosis, to improve awareness of the disease, be alert to the occurrence of misdiagnosis .