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我院自1988年8月至1991年8月共收治菌痢675例,误诊22例,误诊率为3.3%。现分析如下: 1.临床资料 22例中男19例,女3例,年龄10个月~58岁,平均21.5岁。病程5小时~1个月,平均1.5天。22例均有腹痛、腹泻、解脓血便或粘液便,每日3~10次不等。伴有里急后重者12例,发烧15例,便常规检查均可见多量脓细胞及红细胞。末梢血象高者有16例。 22例中有11例在入院当天确诊,有5例入院后
Our hospital from August 1988 to August 1991 received a total of 675 cases of dysentery, misdiagnosis in 22 cases, the misdiagnosis rate was 3.3%. Now analysis as follows: 1. Clinical data 22 cases of male 19 cases, 3 females, aged 10 months to 58 years, an average of 21.5 years old. Course of 5 hours to 1 month, an average of 1.5 days. All 22 cases had abdominal pain, diarrhea, sepsis or mucus, 3 to 10 times a day. Accompanied by tenesmus and severe cases in 12 cases, 15 cases of fever, they were routine examination showed a large number of pus and red blood cells. 16 cases of peripheral blood hyperlipidemia. Of the 22 cases, 11 were diagnosed on the day of admission and 5 were admitted to hospital