流行性出血热(下称出血热)是一种自然疫源性传染病。其病原体及传播途径尚处研究阶段,所以也缺乏特异性诊断方法及特效疗法。由于本病发展迅速,病情严重,并发症多,若诊断不及时,抢救不得力,往往预后不良。本病早期常无典型表现,故易误诊(我省所见的出血热属于伴有肾病综合征者)。我科从1980年10月至1981年10月,收治由县转来的出血热12例(病死3例),病后4天内确诊者无1例.为了提高早期诊断率及治愈率,现将部分误诊病例简介如下,并略加分折.误诊为败血症、中毒性脑病:患者男,47岁.以畏寒,发热9天,神志不清4天,于1981年4月11日入我院.9天前先畏寒,继而发热,头痛,全身痛,按“上感”治疗无效.病后5天症状加重转县医院,血压50/40毫米汞柱.体温40℃,表现脸红,眼红及颈红,诊断为败血症、中毒性休克.经 Epidemic hemorrhagic fever (hereinafter referred to as hemorrhagic fever) is a natural foci of infectious diseases. Its pathogens and routes of transmission are still at the research stage, so there is also a lack of specific diagnostic methods and special effects therapy. Due to the rapid development of the disease, a serious condition, complications, and if the diagnosis is not timely, rescue ineffective, often with poor prognosis. The disease often have no typical early performance, so easy to misdiagnosis (see the province of hemorrhagic fever associated with nephrotic syndrome). Our department from October 1980 to October 1981, received 12 cases of hemorrhagic fever transferred from the county (died of 3 cases), within 4 days after the diagnosis of no case 1. In order to improve the early diagnosis and cure rates, Misdiagnosed as sepsis, toxic encephalopathy: male patient, aged 47. To chills, fever 9 days, confusion for 4 days, on April 11, 1981 into our hospital .9 days ago, first chills, then fever, headache, body pain, press the “flu” treatment ineffective .Sickness 5 days after the symptoms go to the county hospital, blood pressure 50/40 mm Hg temperature 40 ℃, the performance of blush, jealous And neck red, diagnosed as sepsis, toxic shock