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目的探讨散发性脑炎误诊的原因,以提高对此疾病的认识和诊断水平。方法对9例散发性脑炎进行回顾性分析。结果本组9例散发性脑炎患者中,4例误诊为上呼吸道感染,2例诊断为精神性疾病,2例诊断为其他类脑炎,1例以抽搐原因待查,考虑脑部肿瘤或器质性病变收住院。结论误诊原因:主观判断,缺乏全面的了解和分析病史,往往被一些常见疾病所掩盖;对散发性脑炎认识不足和警惕性不高;忽视了一些重要实验室检查。
Objective To investigate the causes of sporadic encephalitis misdiagnosis in order to improve the understanding and diagnosis of this disease. Methods Nine cases of sporadic encephalitis were retrospectively analyzed. Results Of the 9 patients with sporadic encephalitis in this group, 4 were misdiagnosed as upper respiratory tract infections, 2 were diagnosed as psychiatric diseases, 2 were diagnosed as other encephalitis, 1 was examined for causes of convulsions, considering brain tumors or Organic disease admitted to hospital. Conclusions The causes of misdiagnosis: Subjective judgments, lack of comprehensive understanding and analysis of medical history are often covered up by some common diseases; lack of understanding and vigilance of sporadic encephalitis; neglect of some important laboratory tests.