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流行性出血热(EHF)是地区性流行性季节性常见病,如诊断不及时,常可影响治疗,延误病情,故早期正确诊断是治疗本病的关键。本院自1988年8月～1997年2月,共收治EHF118例,误诊26例,现报告如下。1临床资料1.1一般资料:本组病例均符合卫生部(87)4号文颁发EHF诊断标准。误诊26例中,男18例,女8例。年龄20～30岁4例,31～59岁19例,60～71岁3例。临床分型:轻型6例,中型8例,重型7例,危重型5例。转归:痊愈24例,死亡2例。1.2误诊时间:本组误诊最短的2天6例,最长的8天2例,多数为3～7天18例。2误诊疾病2.1误诊为上呼吸道感染6例,EHF在发病早期和轻中型患者,有不同程度的发热伴头痛,咳嗽,咽部充血等与上呼吸道感染不易区分。
Epidemic hemorrhagic fever (EHF) is a seasonal epidemic of endemic diseases, such as the diagnosis is not timely, often affect the treatment, delay the disease, so the early correct diagnosis is the key to the treatment of this disease. The hospital from August 1988 ~ February 1997, were treated EHF118 cases, misdiagnosed 26 cases, are as follows. 1 Clinical data 1.1 General Information: This group of patients are in line with the Ministry of Health (87) No. 4 issued EHF diagnostic criteria. 26 cases were misdiagnosed, 18 males and 8 females. 4 cases were 20-30 years old, 19 cases were 31-59 years old and 3 cases were 60-71 years old. Clinical classification: 6 cases were light, 8 cases were medium, 7 cases were heavy and 5 cases were critically ill. Outcome: 24 cases were cured, 2 died. 1.2 Misdiagnosis time: The group misdiagnosed the shortest 2 days in 6 cases, the longest 8 days in 2 cases, the majority of 3 to 7 days in 18 cases. 2 misdiagnosis of the disease 2.1 misdiagnosed as upper respiratory tract infection in 6 cases, early onset and mild to moderate EHF patients with varying degrees of fever with headache, cough, throat congestion and upper respiratory tract infection is not easy to distinguish.