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典型狂犬病诊断不难,但以非典型临床表现起病的狂犬病患者早期易误诊,本文报告13例,并分析其误诊原因。临床资料一、一般资料男11例,女2例,年龄4～60岁(平均35.5岁)。13例均有被犬咬伤史。潜伏期自6天～15年不等。二、首发症状与体征13例中11例有发热。此外,起病以咳嗽、咽痛3例;全身酸痛、抽搐3例;休克、少尿1例;精神异常2例;昏迷、抽搐1例;异常射精2例;恶心、呕吐、腹泻1例。在病程中逐渐出现恐风12例,恐声12例,恐水11例,发生咽喉痉挛者10例,流涎者
Typical rabies is not difficult to diagnose, but early onset of atypical clinical manifestations of rabies in patients with early misdiagnosis, the paper reported 13 cases, and analyze the causes of misdiagnosis. Clinical data First, the general information 11 males and 2 females, aged 4 to 60 years (mean 35.5 years old). 13 cases were history of dog bites. Latency from 6 days to 15 years. Second, the first signs and symptoms in 13 cases, 11 cases of fever. In addition, the onset of cough, sore throat in 3 cases; body aches and tics in 3 cases; shock, oliguria in 1 case; mental abnormalities in 2 cases; coma, convulsions in 1 case; abnormal ejaculation in 2 cases; nausea, vomiting, diarrhea in 1 case. In the course of the disease gradually appeared in 12 cases of fear, fear of phobia in 12 cases, 11 cases of phobia, throat spasm in 10 cases, salivary who