CAJ | 학술논문

目的探讨职业性慢性正己烷中毒的误诊原因和诊断及鉴别诊断方法.方法收集曾被误诊为其他疾病的16例职业性慢性正己烷中毒患者资料,对首诊医院、误诊原因、临床特征以及同期住院误诊率等进行回顾性分析.结果同期住院62例患者中16例首诊误诊,其中三级甲等医院11例,二级甲等医院5例;误诊为格林巴利氏综合征5例,运动神经元病2例,药物性周围神经病2例,周期性瘫痪3例,诊断不明4例.结论综合性临床医院对职业性慢性正己烷中毒认识不足,常误诊为一般神经内科疾病和作为疑难病例处理,了解职业接触史和临床特点是诊断关键所在.
목적 탐토직업성만성정기완중독적오진원인화진단급감별진단방법.방법 수집증피오진위기타질병적16례직업성만성정기완중독환자자료,대수진의원、오진원인、림상특정이급동기주원오진솔등진행회고성분석.결과 동기주원62례환자중16례수진오진,기중삼급갑등의원11례,이급갑등의원5례;오진위격림파리씨종합정5례,운동신경원병2례,약물성주위신경병2례,주기성탄탄3례,진단불명4례.결론 종합성림상의원대직업성만성정기완중독인식불족,상오진위일반신경내과질병화작위의난병례처리,료해직업접촉사화림상특점시진단관건소재.
Objective To analyze the cause of misdiagnosis of occupational chronic n-hexane poisoning and to investigate the diagnosis and differential diagnosis of this disease.Methods The clinical data of 16 patients with occupational chronic n-hexane poisoning who had been misdiagnosed with other diseases were collected.The hospital they first visited,cause of misdiagnosis,clinical features,and the misdiagnosis rate among inpatients during the same period were retrospectively analyzed.Results Sixteen of 62 patients hospitalized during the same period were misdiagnosed at the first visit; 11 cases were in the upper first-class hospitals,and 5 cases in the upper second-class hospitals; 5 cases were misdiagnosed as Green Barry syndrome,2 cases as motor neuron disease,2 cases as drug-induced peripheral neuropathy,3 cases as periodic paralysis,and 4 cases had uncertain diagnosis.Conclusion Most doctors who work in ordinary hospitals do not know occupational chronic n-hexane poisoning,which is often misdiagnosed as general neuropathies or difficult diseases.The key to correct diagnosis is to know the patient' s occupational history and clinical features.