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慢性非特异性溃疡性结肠炎(简称慢性肠炎,以下同)是门诊常见病、多发病。1980—1987年间笔者收集的210例慢性肠炎中,误诊25例(11.9%)。误诊的病种见下表。分析误诊原因一.滥用药物:慢性腹泻者由于病程长,反复发作,医生及患者均有反复使用各种抗菌素及止泻药的历史,常能短暂缓解,病程酷似慢性肠炎迁延反复。滥用抗菌素造成耐药菌株增加,而且大便培养阳性率低。加之常规检查前已服抗菌素,大便常规及培养很少有特异性发现。本组25例
Chronic non-specific ulcerative colitis (referred to as chronic enteritis, the same below) is a common outpatient and frequently-occurring disease. Of the 210 cases of chronic enteritis collected by the author between 1980 and 1987, 25 were misdiagnosed (11.9%). Diseases misdiagnosed see the table below. Analysis of misdiagnosed causes 1. Abuse of drugs: chronic diarrhea due to longer duration, recurrent, doctors and patients have repeated use of various antimicrobials and antidiarrheal drug history, often can be short-term relief, the course of the disease resembles the chronic enteritis repeated delays. Abuse of antibiotics caused resistant strains increased, and stool culture positive rate is low. Combined with antibiotics prior to routine examination, stool routine and culture rarely found. The group of 25 cases