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目的通过分析3例幼儿急疹误诊原因,以减少或避免临床误诊。方法回顾分析3例幼儿急疹的临床资料。结果 3例患儿均以高热为首发表现,热退后,面部及躯干出现红色粟粒状皮疹,血白细胞及中性粒细胞轻度升高。3例分别误诊为急性上呼吸道感染、急性细菌性痢疾、病毒性脑炎,均于出疹后结合临床表现及实验室特点明确诊断。结论幼儿急疹以高热为首发症状并伴随有其他表现,应仔细观察病情,及时对症处理,避免误诊。
Objective To analyze the causes of misdiagnosis in 3 cases of young children to reduce or avoid clinical misdiagnosis. Methods The clinical data of 3 children with acute rash were retrospectively analyzed. Results High fever was the first manifestation of all the three cases. After the heat withdrawal, red miliary rashes appeared on the face and trunk, and the white blood cells and neutrophils increased slightly. 3 cases were misdiagnosed as acute upper respiratory tract infection, acute bacillary dysentery, viral encephalitis, both in the rash combined with clinical manifestations and laboratory characteristics of a clear diagnosis. Conclusions Children with acute fever as the first symptom and accompanied with other manifestations of acute rash should be careful observation of the disease, timely symptomatic treatment to avoid misdiagnosis.