以全科临床诊疗思维诊治钩虫病致贫血1例报道

Diagnosis and Treatment of Anemia Caused by Ancylostomiasis with Clinical Diagnostic and Therapeutic Thinking in General Practice:A Case Report

钩虫病发病率现已明显降低,由钩虫病导致的贫血因其临床表现缺乏特异性,极易被漏诊和误诊。本文通过报道1例由钩虫病导致贫血患者的诊疗过程,从生物-心理-社会等层面详细讨论了全科医师以患者为中心的整体性临床诊疗思维,并结合文献复习钩虫病及贫血的相关知识,旨在为基层全科医师诊治此类疾病提供思路和参考,从而达到早发现、早治疗的目的,同时减少误诊、误治。

The incidence of ancylostomiasis has been significantly reduced.Anemia caused by ancylostomiasis is easy to be missed and misdiagnosed because of its lack of specificity in clinical manifestations.This article reports on the diagnosis and treatment process of a case of anemia caused by ancylostomiasis,discusses in detail the holistic clinical diagnosis and treatment thinking of general practitioners focusing on patients from the biological,psychological and social levels,and reviews the relevant knowledge of hookworm disease and anemia in combination with the literature,aiming to provide ideas and references for the diagnosis and treatment of such diseases by general practitioners at the grass-roots level,so as to achieve early detection and treatment,and reduce misdiagnosis and mistreatment.