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目的通过分析血吸虫病延迟诊断的情况,探讨减少误诊的途径。方法收集2001年5月至2006年5月在中南大学湘雅二医院延迟诊断为血吸虫病病例,分析临床特点和误诊原因。结果符合条件的病例共22例,学生占60%;主要临床表现为发热、咳嗽、腹痛、腹泻、嗜酸性粒细胞增加,少数有浅表淋巴结肿大、肝脾肿大,入院诊断为肺部感染、伤寒、败血症、结核菌感染、炎症性肠病、肿瘤等。结论血吸虫病发生在疫区,诊断依靠复杂的临床表现及特异性辅助检查。易感人群除农民外,也有接触疫水的学生。
Objective To analyze the delayed diagnosis of schistosomiasis and to explore ways to reduce misdiagnosis. Methods From May 2001 to May 2006, we collected cases of schistosomiasis delayed diagnosis from the Second Xiangya Hospital of Central South University from May 2001 to May 2006, and analyzed the clinical features and causes of misdiagnosis. Results A total of 22 eligible cases accounted for 60% of the students. The main clinical manifestations were fever, cough, abdominal pain, diarrhea, eosinophilia, a few superficial lymph nodes, hepatosplenomegaly, Infections, typhoid fever, septicemia, Mycobacterium tuberculosis infection, inflammatory bowel disease, cancer and the like. Conclusions Schistosomiasis occurs in the epidemic area and the diagnosis depends on complicated clinical manifestations and specific auxiliary examination. Susceptible people in addition to farmers, there are also contact with water students.