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目的 探讨破伤风误诊为神经系统疾病患者的临床特点及其误诊原因。方法 检索《中国期刊网全文数据 (CNKI)》有关破伤风误诊的文献报道 ,结合我科收治的 5例 ,共 4 1例破伤风误诊为神经系统疾病患者的临床资料进行回顾性分析。结果 外伤史不明确、临床表现不典型的破伤风患者易被误诊 ,误诊为神经系统的疾病常为脑梗死、颅内感染、面神经麻痹等。结论 破伤风误诊原因为卫生知识不够普及、采集病史及查体不详细、专业知识不全面、诊断思路狭窄等。
Objective To investigate the clinical features and causes of misdiagnosis of patients with tetanus misdiagnosed as neurological diseases. Methods A retrospective analysis was carried out on the clinical data of 41 cases of tetanus misdiagnosed as neurological diseases in the literature of China Journal Net Full Text Data (CNKI) about misdiagnosis of tetanus. Results trauma history is not clear, clinical manifestations of atypical tetanus patients easily misdiagnosed as misdiagnosed as nervous system diseases often cerebral infarction, intracranial infection, facial paralysis and so on. Conclusions The reasons for the misdiagnosis of tetanus are the lack of popularization of health knowledge, the lack of detailed medical history and physical examination, the incomplete professional knowledge and the narrow diagnosis.