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慢性肾衰竭误诊为贫血46例原因分析

Analysis of cause of46cases chronic renal failure misdiagnosed as anemia

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【作者】 吴以连

【Author】 WUYi_lian (Department of Nephrology,The First People’s Hospital of Yancheng,Jiangsu224001,China)

【机构】 盐城市第一人民医院肾内科 江苏盐城224006

【摘要】 目的 :了解慢性肾衰竭 (CRF)误诊为贫血的主要原因 ,作为今后工作的借鉴。方法 :对1990~2001年本科病房住院的CRF误诊为贫血的46例病人进行回顾性分析 ,主要从病人和医生两方面来寻找误诊的原因。结果 :在病人方面 ,依据贫血就医、对轻微症状的忽视及经济条件的限制是误诊的主要原因 ;在医生方面 ,满足于症状诊断 ,忽视了伴随症状而不作相关检查是误诊的主要原因。结论 :误诊的根本原因在医生方面 ,医生应该在理论水平、医疗技术、思想方法、医德医风等方面不断地改进和提高自己 ,尽量避免误诊

【Abstract】 Objective:To understand the main cause of chronic renal failure(CRF)misdiagnosed as anemia and to use for reference in the work ahead.Methods:46cases with CRF misdiagnosed as anemia from1999to2001admitted in our department were analyzed retrospectively,the main misdiagnostic cause was looked for fromthe patients and doctors.Results:At the respect of patients suffering anemia,the negligence of slight symptom and confinement of poor economic conditions were the main misdiagnostic cause;At the respect of doctor restrained to symptomatic diˉagnosis,the negligence of accompanying symptom and lack of further inspection were the main cause.Conclusion:The misdiagnostic cause is esˉsential in the respect of doctors,so all the doctors must continually raise themselves in the theoretical level,medical technics,ideal style and medical morality to avoid mistake.

【关键词】 慢性肾衰竭贫血误诊
【Key words】 Chronic renal failureAnemiamisdiagnosis
  • 【文献出处】 现代医药卫生 ,Modern Medicine Health , 编辑部邮箱 ,2004年21期
  • 【分类号】R692.5
  • 【被引频次】4
  • 【下载频次】42
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