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一、误诊情况:误诊为脑炎3例,急性左心衰竭肺水肿2例、中毒型痢疾、肺炎、中毒性脑病、急性胃肠炎、过敏性休克各1例。这些病例均经进一步详细检查分析,排除上述疾病,按“有机磷农药中毒”治疗后,病情迅速好转.二、误诊原因:①非集体发病,就诊时病人已昏迷,别人又不能提供农药接触史;②多在夏、秋季,易和脑炎、菌痢等疾病混淆;③医生缺乏对农药中毒临床特点的认识,一时得不到农药接触史、闻不到农药的气味,又无条件作血液胆碱脂酶活力
First, the misdiagnosis: misdiagnosed as encephalitis in 3 cases, 2 cases of pulmonary edema in acute left heart failure, poisoning dysentery, pneumonia, toxic encephalopathy, acute gastroenteritis, anaphylactic shock in 1 case. These cases were further examined and analyzed to exclude the above diseases, according to “organophosphorus pesticide poisoning” treatment, the condition improved rapidly. Second, misdiagnosis causes: ① non-collective disease, the patient was in a coma at the time of treatment, others can not provide contact history of pesticides ; ② more in summer and autumn, easy and encephalitis, bacillary dysentery and other diseases confused; ③ doctors lack of understanding of the clinical features of pesticide poisoning, temporary access to pesticide history, smell of pesticides, and unconditional blood bile Alkali-lipase activity