黑热病11例临床误诊分析

Clinical analysis of misdiagnosis about Kala azar in 11 cases

目的降低黑热病的误诊率。方法回顾性分析我院2008年8月～2012年6月共误诊黑热病11例临床特点及实验室资料,对其误诊结果进行总结。结果 11例中有血液性疾病4例,呼吸系统疾病5例,消化系统疾病2例收入院治疗,平均5.5d后通过骨髓穿刺明确诊断。结论骨髓穿刺找到动基体是识别利杜体避免误诊的关键,而利杜体在瑞氏-姬姆萨染色中比单纯瑞氏染色、糖原染色等着色更清晰、更易辨认。

Objective To reduce the misdiagnosis of kala azar.Methods From August 2008 to June 2012,11 cases of Kala azar were analyzed retrospectively.Results In 11 cases,4 cases were diagnosised blood disease,5 cases were diagnosised respiratory system diseases,2 cases were diagnosised digestive diseases.After an average of 5.5 days,were diagnosised correctly by bone marrow aspiration.Conclusion Finding out the kinetoplast is important for identificantion of Leisham-Donovan body,which is clear and more.