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疱疹性口炎、球菌性口炎和口腔白色念珠菌病是小儿极为常见且多发的口腔粘膜损害。由于小儿主诉不清以及此三病临床表现均有假膜形成。因此有些基层医生往往将此三病统诊为“口炎”或“口疮”,治疗上亦不加区别地施以抗生素治疗,致使一些患儿病程拖延,病情加重。笔者现根据诊治此三病的经验和体会,结合误诊病例的分析情况,简述三病鉴别诊断要点。
Herpetic stomatitis, cocci stomatitis and oral candidiasis are very common and frequent oral mucosal lesions in children. Due to unclear complaints in children and clinical manifestations of these three diseases have pseudomembranous formation. Therefore, some primary doctors often refer to these three diseases as “stomatitis” or “aphthous” and apply antibiotics to their treatment without distinction. As a result, some children suffer from prolonged course and aggravate their illness. The author is based on the experience of diagnosis and treatment of these three diseases and experience, combined with the analysis of misdiagnosed cases, briefly describe the differential diagnosis of three diseases.