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目的分析显微镜下多血管炎误诊为流行性出血热的原因。方法对我院收治的一例误诊为显微镜下多血管炎的流行性出血热的症状、体征、辅助检查及诊治经过进行回顾性分析。结果流行性出血热与显微镜下多血管炎尽管在临床表现上有诸多相似之处,易造成误诊,但通过详细的病史询问、查体及必要的辅助检查,误诊是可以避免的。结论显微镜下多血管炎与流行性出血热的诊断主要依靠临床特征、流行病学资料、常规化验及特异血清学检查、病理及诊断性治疗,仔细鉴别才能避免误诊。
Objective To analyze the causes of misdiagnosis of polyangiitis as epidemic hemorrhagic fever under microscope. Methods A retrospective analysis was performed on the symptoms, signs, auxiliary examinations and diagnosis and treatment of epidemic hemorrhagic fever which was misdiagnosed as microscopic vasculitis under our hospital. Results Epidemic hemorrhagic fever and microscopic polyangiitis, although there are many similarities in clinical manifestations, easily lead to misdiagnosis, but through detailed history inquiry, physical examination and necessary auxiliary examination, misdiagnosis can be avoided. Conclusions The diagnosis of polyarthritis and epidemic hemorrhagic fever mainly depends on clinical features, epidemiological data, routine tests and specific serological tests, pathological and diagnostic treatments under microscope. Careful identification can avoid misdiagnosis.