【摘要】 为提高对大肠杆菌败血症的认识和及时作出诊断,本文回顾性分析我院近年来经血培养证实为大肠杆菌败血症的病历.分析其中19例在血培养证实前的误诊情况:误诊为伤寒3例,急性胃肠炎3例,上呼吸道感染2例,流行性出血热1例,仅诊断出败血症的原发灶或迁徙灶者5例;由于仅注意到原发病而漏诊败血症者5例.由于本病缺乏特征性临床表现,故早期诊断有一定困难,再加上多数患者不发热,血白细胞不增高,未出现明显的呕吐、腹泻等,更易造成误诊,均应引起临床警惕.更多还原

【Abstract】 In order to recognize E. coli septiccmia more deeply and to diagnose the disease earlier, we made a retrospective analysis of all the records of the proved cases seen recently in our hospital.19 cases were found to be misdiagnosed before the bacleriologic results were proved to be positive. 3 cases were misdiagnosed as typhoid fever, 3 acute gastroenteritis, 2 upper respiratory infection and 1 epidemic hcmorrhagic fever. In 5 cases, only the primary or the matastatic foci of the septicemia were diagnosed; in another 5 cases the diagnosis of the disease had been wholly lost as the attention was put entirely on the underlying diesases.Because of the lack of pathognomonic clinical features, early diagnosis of the disease presents some difficulties. Moreover, in a few cases that may be afebrile and without leucocytosis, but with severe vomiting and diarrhea, all the conditions may lead to misdiagnosis and should arouse our vigilance in the differential diagnosis of this disease.更多还原