CAJ | 학술논문

目的：探讨降低布鲁菌病误诊率的临床措施。方法对兰陵县人民医院2010年1月至2013年12月中33例布鲁菌病误诊患者临床资料进行回顾性分析。结果33例布鲁菌病被误诊为败血症8例、伤寒8例、睾丸炎7例、风湿性关节炎5例、肺炎2例、肾综合征出血热（HFRS）2例、肺结核1例，确诊后经规范治疗均治愈出院。结论布鲁菌病容易被误诊，临床医生要拓宽思路，熟练掌握有相似症状、体征的发热性疾病，综合分析，降低误诊率。
목적：탐토강저포로균병오진솔적림상조시。방법대란릉현인민의원2010년1월지2013년12월중33례포로균병오진환자림상자료진행회고성분석。결과33례포로균병피오진위패혈증8례、상한8례、고환염7례、풍습성관절염5례、폐염2례、신종합정출혈열（HFRS）2례、폐결핵1례，학진후경규범치료균치유출원。결론포로균병용역피오진，림상의생요탁관사로，숙련장악유상사증상、체정적발열성질병，종합분석，강저오진솔。
Objective To explore the clinical measures to reduce the misdiagnosis rate of brucellosis in non‐epidemic area .Methods The clinical data of 33 cases of misdiagnosed brucellosis treated in Lanling County People's Hospital from January ,2010 to December ,2013 33 were analyzed retrospectively .Results 8 cases were misdiagnosed as septicemia ,8 cases as typhia ,7 cases as orchitis ,5 cases as rheumatic arthri‐tis ,2 cases as pneumonia ,2 cases as hemorrhagic fever with renal syndrome and one cases as tuberculosis . Conclusion Brucellosis can be easily misdiagnosed and doctors should be open‐minded and be skilled in rec‐ognizing similar symptoms of different diseases to reduce misdiagnosis rate .