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慢性肾功能衰竭(以下简称慢性肾衰)一般不难诊断,但对有明显贫血的慢性肾衰者,临床医师易忽略其肾病,而只注意其贫血。我院内科从1983年初到1987年底共收治慢性贫血病人203例,其中由于慢性肾衰引起者50例(占24.63％)。为提高临床医师对慢性肾衰引起贫血的重视,特报告如下: 误诊概况初诊主诉主要为头晕乏力12例,恶心呕吐11例,浮肿10例,呕血和(或)黑便9例,高血压3例,腰痛3例,抽搐1例,尿路梗阻1例。50例中在院外医疗单位漏、误诊者31例,来我院后初诊时漏、误诊者
Chronic renal failure (hereinafter referred to as chronic renal failure) is generally not difficult to diagnose, but for those with chronic anemia of chronic renal failure, clinicians tend to neglect its nephropathy, and only pay attention to its anemia. In our hospital, 203 cases of chronic anemia were admitted from the beginning of 1983 to the end of 1987, of which 50 cases were caused by chronic renal failure (24.63%). In order to enhance clinicians’ attention to anemia caused by chronic renal failure, the special report is as follows: Misdiagnosis At a general examination, the main complaints were 12 cases of dizziness and fatigue, 11 cases of nausea and vomiting, 10 cases of edema, 9 cases of hematemesis and / or melena, 3 cases of hypertension Cases, low back pain in 3 cases, convulsions in 1 case, urinary tract obstruction in 1 case. 50 cases in the hospital medical units leak, 31 cases of misdiagnosis, to our hospital after initial diagnosis of missed, misdiagnosed