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目的总结基层医院隐球菌性脑膜炎的误诊原因,以提高隐球菌性脑膜炎的正确诊断率。方法回顾性分析2006年至2008年我院收治的16例隐球菌性脑膜炎误诊病例的临床资料。结果经病原学检查均确诊为隐球菌性脑膜炎。结论全面询问病史,细致观察和体格检查,及时合理开展相关辅助检查,充分认识隐球菌性脑膜炎的特点,不断提高临床思维和诊断能力,才能减少隐球菌性脑膜炎的误诊。
Objective To summarize the causes of misdiagnosis of cryptococcal meningitis in primary hospitals so as to improve the correct diagnosis rate of cryptococcal meningitis. Methods The clinical data of 16 cases of misdiagnosed cases of cryptococcal meningitis from 2006 to 2008 in our hospital were retrospectively analyzed. The results of pathological examination were confirmed as cryptococcal meningitis. Conclusion Comprehensive medical history, detailed observation and physical examination were carried out in time and reasonably to carry out relevant auxiliary examinations. The full understanding of the characteristics of cryptococcal meningitis and continuous improvement of clinical thinking and diagnostic ability can reduce the misdiagnosis of cryptococcal meningitis.