带状疱疹误诊病例资料回顾性分析.docVIP

带状疱疹误诊病例资料回顾性分析 　　[摘要]目的 探?带状疱疹误诊的原因，为提高临床诊断带状疱疹的准确性提供可靠借鉴。方法 选取2013年1月～2015年12月我院收治的150例初诊被误诊为其他病变的带状疱疹患者作为研究对象，对这150例带状疱疹患者的临床资料进行回顾性总结分析，对误诊的原因进行分析。结果 150例带状疱疹误诊病例中，老年患者所占比例为47.33%，中青年患者为52.67%，差异无统计学意义（P0.05）。误诊的发病部位以三叉神经阶段、颈神经节段、胸段神经、腰骶段神经为主，所占比例分别为28.67%、30.67%、20.67%、20.00%；误诊的病种主要为三叉神经痛、肋间神经痛、青光眼、急性中耳炎、鼓膜穿孔，所占比例分别为12.00%、11.33%、10.00%、8.00%、7.33%。误诊发生的原因主要为带状疱疹早期症状不具有典型性、首次接诊医师诊断过程中存在不足，误诊病例经进一步诊断后给予对症治疗，治疗后，139例存在疼痛症状的患者其疼痛完全消失或明显减轻，11例未出现疼痛症状的患者其皮肤不适症状基本消失。结论 在带状疱疹的临床诊断中，临床医师应提高自身的专业认识，综合多种检查手段进行综合判断，注意将带状疱疹与其他临床症状相似的疾病进行鉴别诊断，尽可能减少误诊的发生 [关键词]带状疱疹；误诊；原因 [中图分类号] R752.1+2 [文献标识码] A [文章编号] 1674-4721（2017）02（c）-0032-03 Retrospective analysis of misdiagnosed cases of herpes zoster TANG Gong-zheng Chancheng District Chaoyang Hospital of Foshan City in Guangdong Province，Foshan 528000，China [Abstract]Objective To explore the causes of misdiagnosis of herpes zoster and to provide a reliable reference for improving the accuracy of clinical diagnosis of herpes zoster.Methods 150 patients with herpes zoster misdiagnosed as other diseases in our hospital from January 2013 to December 2015 were selected as study objects.The clinical data of 150 patients with herpes zoster were analyzed retrospectively.The causes of misdiagnosis were analyzed.Results Among 150 herpes zoster misdiagnosed cases，the proportion of elderly patients accounted for 47.33%，the proportion of young and middle-aged patients accounted for 52.67%，and the difference was not statistically significant （P0.05）.The main sites of misdiagnosis was trigeminal nerve，cervical ganglion，thoracic nerve and lumbosacral nerve，and the proportion was respectively 28.67%，30.67%，20.67%，20.00%；the main diseases misdiagnosed was trigeminal neuralgia，intercostals neuralgia，glaucoma，acute otitis media，tympanic membrane perforation，and the proportion was respectively 12.00%，11.33%，10.00%，8.00% and 7.33%.The main reason of misdiagnosis was that early symptoms of herpes zoster were not typical，for the first ti