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1985年1月～1987年12月,我院收治的1713例流行性出血热患者中,有50例斑疹伤寒误疹病例,其中男45例,女5例,年龄21～45岁,就诊时间在病后3～18天,明确诊断时间为病后10～23天。按《传染病手册》(楼方岑.北京:人民卫生出版社,1984:509.)和《传染病学》(王季午.上海:上海科学技术出版社,1979:280.)的诊断标准,这50例的临床表现和血清学检测结果均符合斑疹伤寒的诊断。且EHFIFAT检测阴性,故除外EHF。现仅就这50例斑疹伤寒误诊流行性出血热的原因简要分析如下。
From January 1985 to December 1987, of the 1713 cases of epidemic hemorrhagic fever admitted to our hospital, there were 50 typhus cases, including 45 males and 5 females, aged 21 to 45 years old. The treatment time 3 to 18 days after the illness, a clear diagnosis of the disease after 10 to 23 days. According to “Handbook of Infectious Diseases” (Lou Fang Cen Beijing: People’s Health Publishing House, 1984: 509) and Infectious Diseases (Wang Jiwu Shanghai: Shanghai Science and Technology Press, 1979: 280) diagnostic criteria, which 50 cases of clinical manifestations and serological test results are in line with the diagnosis of typhus. And EHFIFAT negative test, it is not EHF. Now only 50 cases of typhus misdiagnosed epidemic hemorrhagic fever as follows.