阴虱病的诊治(附190病例分析)

The Diagnosis and Treatment of Phthirus Disease (Attached 190 Cases Analysis)

目的:探讨阴虱病在临床上误诊误治的原因及诊断要点。方法:对190例患者的临床表现、并发症及误诊漏诊情况等临床资料进行分析。结果:190例阴虱患者中有147例于确诊前曾发生误漏诊,占77.4%,分别误诊阴囊湿疹,外阴神经性皮炎,阴部瘙痒症,慢性单纯性苔藓,疖肿,毛囊炎,疥疮等皮肤病,施以相应治疗效果不佳,经详细问诊及辅以实验宣检查确诊,正规灭虱治疗后均痊愈。结论:只要医务人员掌握阴虱病的临床特点,并仔细为患者作好局部检查,必要时结合实验室检查,以防临床上的误诊漏诊。

Objeetive： To explore the cause of Phthirus disease misdlagnosis and mistreatment and diagnosis key points in clinical. Methods： Analyzing the clinical data of 190 cases with Phthiras disease, Including clinical manifestation, complication, misdiagnosis and ship over diagnosis . Results： In 190 Phthirus disease cases, 147 cases were misdiagnosed or skipped before final diagnosis, occupying 77.4%.They were misdiagnosed into eczema of scrotum, vulva Neuroderrnatitis. Pruritus. lichen simplex chronicus, boils. Folliculitis. scabies and so on. So the treatment effectiveness is below the mark. However, after careful inquisition and laboratory examination, they were making a definite diagnosis and healing by normal delousing treatment at last. Conclusions： Phthirus disease＇s diagnosis and treatment are facility if the doctor handles Phthirus disease＇ clinical character, has a physical examination attentively and integrates laboratory examination.