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目的:探讨带状疱疹的发病特点、诊断。方法:对我院近10 a来初诊误诊的带状疱疹患者26例临床资料回顾性分析。结果:26例分别被误诊为心绞痛、肋间神经痛、腰椎间盘突出症、偏头痛、股外侧皮神经炎、胆囊炎。以抗病毒、止痛、营养神经治疗2周内治愈,5例遗留神经痛。结论:应提高对带状疱疹发病特点的认识,认真体检,对于发生在身体单侧并沿神经放射的剧痛,而缺乏阳性体征者,应想到带状疱疹。
Objective: To explore the incidence of shingles, diagnosis. Methods: The clinical data of 26 patients with herpes zoster who were misdiagnosed in our hospital for the past 10 years were retrospectively analyzed. Results: 26 cases were misdiagnosed as angina, intercostal neuralgia, lumbar disc herniation, migraine, lateral femoral cutaneous neuritis, cholecystitis. To antiviral, analgesic, nutritional nerve cure within 2 weeks, 5 cases of neuralgia residual. CONCLUSIONS: Awareness of herpes zoster pathogenesis should be enhanced and careful examination should be conducted. Shingles should be considered for those with unilateral positive signs that occur on one side of the body and radiate along the nerves.