摘要
目的探讨中毒性脑病的诊断及误诊原因,降低误诊率。方法回顾分析22例中毒性脑病误诊病历,总结误诊原因。结果本组8例出现恶心、呕吐、意识障碍;5例出现嗜睡、紫绀、低血压;4例出现消化道出血,继之昏迷;2例有呼吸困难、恶心、呕吐、紫绀;2例为癫痫样发作;1例意识障碍、面部肌肉震颤、间歇抽搐;误诊为急性脑血管疾病8例,心源性休克5例,急性酒精中毒4例,肺性脑病2例,癫痫发作2例,电解质紊乱1例。结论临床上中毒性脑病并不少见,然可出现多种临床症状,易误诊,因此应从病因、症状、体征及有关的实验室检查资料进行综合诊断。
Objective To investigate the diagnosis and the causes of misdiagnosis for toxic encephalopathy, reduced the rate of misdiagnosis. Methods Retrospectively analyzed 22 cases of misdiagnosed medical records, summarized the causes of misdiagnosis. Results In this group, eight cases appeared nausea,vomiting, unconsciousness; 5 cases ap- peared lethargy,cyanosis, hypotension; 4 cases appeared gastrointestinal bleeding, accompanied by coma; 2 cases ap- peared dyspnea,nausea,vomiting,cyanosis; 2 cases appeared epileptic seizures; 1 cases appeared unconsciousness, fa- cial muscle tremors,intermittent convulsions; 8 cases were misdiagnosed as the acute eerebrovascular diseases; 5 cases were misdiagnosed as cardiogenic shock; 4 cases were misdiagnosed as acute alcoholic intoxication; 2 cases were misdi- agnosed as pulmonary encephalopathy; 2 cases were misdiagnosed as epileptic seizures; 1 cases were misdiagnosed as e- lectrolyte imbalance. Conclusion The toxic encephalopathy for clinic was common, but appeared a variety of clinical symptoms, was easily misdiagnosed and was diagnosed from disease cause, symptom, sign by the laboratory tests.
出处
《医药论坛杂志》
2013年第10期56-58,共3页
Journal of Medical Forum
关键词
中毒性脑病
误诊
Toxic encephalopathy
Misdiagnosis
