38例妊娠合并结核病误诊原因分析

Analysis of causes of mis-diagnosis of 38 pregnant women complicated with tuberculosis

目的分析和探讨妊娠合并结核病误诊原因,提高对妊娠合并结核病的认识,防止误诊后导致严重后果。方法对38例临床诊断妊娠合并结核病的临床资料及误诊情况进行分析。结果 38例患者平均误诊时间26.8天,患者中农村妇女24例(63.2%),综合医院就诊33例(86.8%),发病一周就诊率仅18.4%,发病三周内行X线检查仅23.7%,PPD\痰菌阴性误诊18例(47.3%)误诊疾病中上呼吸道感染(44.7%)、产褥感染(21%)。结论妊娠合并结核病平均误诊时间较长,农村妇女对此病认识不够及心理顾虑、未及时X线等检查、PPD\痰菌等检查阴性是误诊常见原因。上呼吸道感染、产褥感染是常见误诊疾病。

Objective To analyze and explore the causes of mis-diagnosis of pregnant women complicated with tuberculosis, and to improve the understanding of pregnant women complicated with tuberculosis to prevent serious consequences caused by mis-diagnosis. Methods The clinical data of 38 cases of pregnancy complicated with tuberculosis and the mis-diagnosis situations were analyzed. Re- suits The clinical symptoms of pregnant women complicated with tuberculosis had no specificity. The common causes of mis-diagnosis were poor understanding, psychological effect, lack of diagnosis means specificity, and delayed visit. The average time of mis-diagnosis was 26. 8 days. The most commonly misdiagnosed diseases were upper respiratory tract infection and puerperal infection. Conclusion The clinical features of pregnancy complicated with tuberculosis should be paid more attention. The early diagnosis and treatment should be given to reduce the adverse effects to fetus and pregnant women.