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目的:分析与偏头痛相关误诊患者的临床资料,以期提高临床医生对该病的认识水平,提高偏头痛的诊断正确率。方法:利用河南大学淮河医院2010年至今收治的16例偏头痛误诊患者,参考国内外文献以统回顾的方法分析该病的误诊原因。结果:抑郁症、癫痫、椎基底动脉系统TIA、鼻窦炎等疾病易与偏头痛相混淆。结论:病史采集不详细、对偏头痛认识不足、缺乏必要的诊断学鉴别知识等因素与偏头痛的相关误诊有关。
OBJECTIVE: To analyze the clinical data of misdiagnosed patients with migraine, in order to improve clinicians’ understanding of the disease and improve the diagnostic accuracy of migraine. Methods: 16 cases of misdiagnosis of migraine were treated in Huaihe Hospital of Henan University from 2010 to the present, and the causes of misdiagnosis of the disease were analyzed with reference to domestic and foreign literatures. Results: Depression, epilepsy, vertebrobasilar system TIA, sinusitis and other diseases easily confused with migraine. CONCLUSION: The lack of detailed medical history collection, lack of understanding of migraine headache, lack of necessary diagnostic knowledge and other factors associated with misdiagnosis related to migraine.