伤寒杆菌性脑膜炎误诊9例分析  

Analysis on Misdiagnosis of 9 Patients with Typhoid Meningitis

作　　者：王俊峰[1] 范亚瑜[1] 陈豪[2] 张中银[2] 谭琦[2] 

机构地区：[1]中山大学附属第五医院神经内科,广东珠海519000 [2]广东省东莞东华医院神经内科,523013

出　　处：《中国误诊学杂志》2003年第7期964-966,共3页Chinese Journal of Misdiagnostics

摘　　要：目的　寻找伤寒杆菌性脑膜炎误诊原因 ,提出改进办法。方法　对确诊为伤寒杆菌性脑膜炎的诊疗过程进行回顾性分析。结果　 9例伤寒杆菌性脑膜炎患者病初均被诊为上呼吸道感染或胃肠炎 ,出现明显伤寒及神经系统表现后得到确诊及合理治疗。结论　伤寒杆菌性脑膜炎易被误诊为呼吸道、消化道普通感染 ,为避免或减少误诊 ,如拟诊伤寒患者出现明显神经精神症状 ,应及早作伤寒病原学及脑脊液检查。Objective To analyze the reasons of misdiagnosis of the patients with typhoid meningitis.Methods The clinical procedures of diagnosis and treatment of 9 chosen patients with Salmonella thyphi meningitis were analysed retrospectively.Results 9 patients with typhoid meningitis were misdiagnosed by upper respiratory tract infection or gastroenteritis in initial stage and gained suitable treatment after being diagnosed as typhoid meningitis.Conclusions Salmonella typhi meningitis in early phase were easily misdiagnosed as upper respiratory tract infection or gastroenteritis.If the suspected typhoid patients were complicated with neuropsychic symptoms or menigineal irritation signs, cerebrospinal fluid puncture and etiological examination should be done.

关 键 词：脑膜炎 细菌性/诊断 沙门菌/伤寒 误诊 

分 类 号：R512.3[医药卫生—内科学]