1994年4月～1995年9月我科共收治维生素B_1缺乏症23例,其中其它疾病误诊为维生素B_1缺乏症4例,误诊率为17.4％,现综合报告如下。 1 病例介绍 以肝脏特别肿大急性化脓性心包炎误诊为维生素B_1缺乏症:例1,男,12m,母乳喂养。因发热10余天伴腹胀、呻吟不止8小时在当地医院治疗无效而急转我科。查体:T38℃,急性病容,呼吸深而慢,呈叹息样,全身青紫,面色苍灰,呻吟不止,神萎,燥 April 1994 ~ September 1995 our department received a total of 23 cases of vitamin B_1 deficiency, of which other diseases misdiagnosed as vitamin B_1 deficiency in 4 cases, the misdiagnosis rate was 17.4%, are summarized below. 1 case description Liver enlargement of acute suppurative peritonitis misdiagnosed as vitamin B_1 deficiency: Example 1, male, 12m, breastfeeding. Fever for more than 10 days with abdominal distension, moaning more than 8 hours in the local hospital treatment and acute abrupt turn my department. Physical examination: T38 ℃, acute illness, deep and slow breathing, sighing, body bruising, pale gray, groaning, God wilt, dry