59例误诊的痛风患者初诊就医科室的分析

An Analysis of 59 Patients with Gout Who Were Misdiagnosed

目的:分析被误诊的59例痛风患者临床特点,探讨其初诊就医科室的状况.方法:回顾性分析我院2010年1月~2015年12月来风湿科门诊就诊前被误诊的59例痛风患者的临床资料及初诊就医科室进行分析.结果:59例痛风性关节炎患者中,误诊为蜂窝组织炎31例,误诊率为52.5%;误诊为骨关节炎13例,误诊率为22%;误诊为类风湿关节炎12例,误诊率为20.3%;误诊为化脓性关节炎3例,误诊率为5.1%;首次就诊科室依次为急诊科(38.9%),骨科(32.2%),普外科(15.2%),中医科(8.4%),社区医院(5%).结论:加强痛风疾病的知识普及教育,减少痛风患者错误就医,减少误诊误治.

Objective:To analyze the clinical characteristics of 59 patients with gout who were misdiagnosed,and to explore the status of their department of initial diagnosis and treatment.Methods:The clinical data of 59 patients with gout who were misdiagnosed before coming to the rheumatic department of our hospital from January 2010 to December 2015 were analyzed retrospectively.Results:Among the 59 patients with gout arthritis,31 were misdiagnosed as cellulitis,the misdiagnosis rate was 52.5%.Thirteen cases were misdiagnosed as osteoarthritis,with a misdiagnosis rate of 22%.12 cases were is diagnosed as rheumatoid arthritis,with a misdiagnosis rate of 20.3%.3 cases were misdiagnosed as suppurative arthritis,the misdiagnosis rate was 5%.The first-visit departments were emergency department(38.9%),department of orthopedics(32.2%),department of general surgery(15.2%),department of traditional Chinese medicine(8.4%),and community hospital(5.1%).Conclusion:To strengthen the knowledge of gout disease education,reduce gout patients wrong medical treatment,reduce misdiagnosis and treatment.