中国实用医药
中國實用醫藥
중국실용의약
CHINA PRACTICAL MEDICAL
2013年
33期
38-39
,共2页
干燥综合征%原发性%首发症状%误诊疾病
榦燥綜閤徵%原髮性%首髮癥狀%誤診疾病
간조종합정%원발성%수발증상%오진질병
Dry syndrome%Primary%Symptom%Misdiagnosis
目的：讨论关于原发性干燥综合征的误诊原因，以便在日后临床诊治过程中减少误诊。方法对临床18例原发性干燥综合症的患者，首发症状及误诊疾病资料进行回顾性分析。结果在这18例原发性干燥综合症误诊病例中，被误诊为慢性腮腺炎的3例，误诊为过敏性紫癜的2例，误诊为皮肤瘙痒症的1例，误诊为传染性肝炎的1例，误诊为类风湿关节炎的6例，误诊为结节性红斑的2例，误诊为间质性肺炎的2例，误诊为急性胰腺炎的1例。结论在临床上应提高对原发性干燥综合征的认识，由于原发性干燥综合征的临床表现是复杂多样，所以容易误诊，为此要大大提高医务人员的分辨能力。
目的：討論關于原髮性榦燥綜閤徵的誤診原因，以便在日後臨床診治過程中減少誤診。方法對臨床18例原髮性榦燥綜閤癥的患者，首髮癥狀及誤診疾病資料進行迴顧性分析。結果在這18例原髮性榦燥綜閤癥誤診病例中，被誤診為慢性腮腺炎的3例，誤診為過敏性紫癜的2例，誤診為皮膚瘙癢癥的1例，誤診為傳染性肝炎的1例，誤診為類風濕關節炎的6例，誤診為結節性紅斑的2例，誤診為間質性肺炎的2例，誤診為急性胰腺炎的1例。結論在臨床上應提高對原髮性榦燥綜閤徵的認識，由于原髮性榦燥綜閤徵的臨床錶現是複雜多樣，所以容易誤診，為此要大大提高醫務人員的分辨能力。
목적：토론관우원발성간조종합정적오진원인，이편재일후림상진치과정중감소오진。방법대림상18례원발성간조종합증적환자，수발증상급오진질병자료진행회고성분석。결과재저18례원발성간조종합증오진병례중，피오진위만성시선염적3례，오진위과민성자전적2례，오진위피부소양증적1례，오진위전염성간염적1례，오진위류풍습관절염적6례，오진위결절성홍반적2례，오진위간질성폐염적2례，오진위급성이선염적1례。결론재림상상응제고대원발성간조종합정적인식，유우원발성간조종합정적림상표현시복잡다양，소이용역오진，위차요대대제고의무인원적분변능력。
Objective To discuss the causes of misdiagnosis of primary sjogren syndrome, in order to reduce the misdiagnosis in future clinical diagnosis and treatment process. Methods the clinical data of 18 cases of primary sjogren syndrome, symptoms and diseases misdiagnosed were analyzed retrospectively. Results In the 18 patients with primary sjogren's syndrome misdiagnosed cases, 3 cases were misdiagnosed as chronic parotitis, 2 cases were diagnosed as allergic purpura disease, 1 cases was diagnosed as cutaneous pruritus, 1 case was misdiagnosed as infectious hepatitis, 6 patients were misdiagnosed as rheumatoid arthritis, 2 patients were misdiagnosed as erythema nodosum, 2 cases were misdiagnosed as interstitial pneumonia, 1 case was misdiagnosed as acute pancreatitis. Conclusion In clinical should improve the understanding of primary sjogren syndrome, the clinical manifestation of primary Sjogren syndrome is complex and diverse, so easily misdiagnosed, therefore to greatly improve the resolution of medical personnel.
