误诊

Objective To investigate the diagnosis and treatment of injuries to distal epiphyseal plate of humerus in children in hope of reducing misdiagnosis, mistreatment and complications of the injuries.

目的 探讨儿童肱骨远端骺板损伤的诊断与治疗，减少误诊误治及并发症的发生。

Results 7of22cases were angiomyolipoma,6were xanthogranulomatous pyelonephritis,4were multilocular cystic nephroˉma,2were leiomyoma of kidney,2were renal abscess,one case were renal fibrolipoma.

结果 误诊为肾癌的良性占位病变22例，其中肾血管平滑肌脂肪瘤合并出血7例，局灶型黄色肉芽肿性肾盂肾炎6例，肾多发性囊性肾瘤4例，肾平滑肌瘤2例，肾脓肿2例，肾纤维脂肪瘤1例。

Results 7of22cases were angiomyolipoma,6were xanthogranulomatous pyelonephritis,4were multilocular cystic nephroˉma,2were leiomyoma of kidney,2were renal abscess,one case were renal fibrolipoma.

结果 误诊为肾癌的良性占位病变22例，其中肾血管平滑肌脂肪瘤合并出血7例，局灶型黄色肉芽肿性肾盂肾炎6例，肾发性囊性肾瘤4例，肾平滑肌瘤2例，肾脓肿2例，肾纤维脂肪瘤1例。

The sites headache were lateral or bilateral frontotemporal and parietal, features of pain were blunt and pulsative,last for 15～30 minutes.

回顾性分析2003年2月～2007年3月在门诊及住院治疗的15例曾被误诊为头痛性癫痫的儿童偏头痛患者临床、TCD、脑电图资料。

With acute gangrenous perforation of 16 cases,of which 10 cases of pregnancy,six cases of late pregnancy,one cases of misdiagnosis.

合并急性坏疽性穿孔16例，其中中孕10例，晚孕6例，误诊1例。

objective:to analyze the gastroesophageal reflux disease in the pathogenesis, clinical features and causes of misdiagnosis.

小 r571a1005-2720-(2010)04-0010-02目的：分析研究胃食管反流病的发病机制、临床特点与误诊原因。

Gliosis has no typical clinical signals as well as imaging characteristics, easily to be misdiagnosed. Aggregate analysis of CT and MRI images, especially special MRI sequences can significantly improve the diagnostic accuracy rate.

脑胶质细胞增生症无特征性CT及MRI表现，临床极易被误诊，综合分析CT、MRI，特别是MRI特殊序列影像特点，能显著提高诊断正确率。

Results There were 14 unconscious patients of hypoglycemic syndrome, of them, there were 3 patients with transient hypoglycemic hemiparesis on the right,2 with hypoglycemic hemiplegia on the right, 1 with transient hypoglycemic hemiparesis on the left ,1 with hypoglycemic hemiplegia on the left and 1 right-left mixed hypoglycemic hemiparesis patient and there were 3 patients with right side Babinski's sign.

结果 14例低血糖误诊的病例中神志模糊5例，昏迷9例，14例中发作性右侧轻偏瘫3例，右侧偏瘫2例，左侧轻偏瘫1例，左侧偏瘫1例，右侧肢体瘫痪与左侧肢体瘫痪交替出现的1例，右侧巴宾斯基征阳性3例。

Results The average operation time was 23.5min. The average hospital stay was 3.5d. The correction of the prolapsed hemorrhoids was satisfied in 93.5% patients. Intraoperative hemorrhea occurred in two cases because the large range rectum mucosa was uncompletely stapled or cut. Urine retention occurred in 184 cases (31.9%), anal pain in 357 cases (62%) and a second operation were performed in 3 cases because of postoperative hemorrhea. A total of 484 cases were followedup for 14 years. The postoperative satisfaction rate of symptom improvement was 94 .3%. Four cases underwent thrombosed external hemorrhoid resection. Other patients had no recurrence, no anal stenosis and no fecal incontinence.

结果 手术时间平均23.5 min，平均住院时间3.5 d，切除痔上黏膜宽度平均约2.5 cm.93.5％术中痔核回缩满意，因大面积钉合不全及切割不全各1例发生术中大出血，尿潴留184例（31.9％），肛门疼痛357例（62％），3例术后大出血再次行手术止血。484例（84％）随诊1～4年，术后症状改善满意者94.3％，2例误诊，4例因血栓外痔行血栓外痔切除术，其余患者均无复发，无肛门狭窄、大便失禁。

Results: 36 patients with ami who were misdiagnosed and missed diagnosed had no typical angina pectoris at the onset of disease, and the first manifestations were dyspnea, chest distress, pallor, perspiration, hypodynamia, gastrointestinal reaction, disturbance of consciousness etc, and the electrocardiograms of most patients were untypical.

结果：36例被漏误诊的ami患者起病时多无典型心绞痛，首发表现为呼吸困难、胸闷、面色苍白、出汗、乏力、胃肠道反应、意识障碍等症状，多数患者心电图不典型。

Breath, muscle contraction of the buttocks; arch body, as far as possible to hold his head, right leg straight towards the ceiling (peg-leg knee in order to avoid muscle tension).

呼气，收缩臀部肌肉；拱起身体，尽量抬起头来，右腿伸直朝向天花板（膝微屈，以避免肌肉紧张）。

The cost of moving grain food products was unchanged from May, but year over year are up 8%.

粮食产品的运输费用与5月份相比没有变化，但却比去年同期高8％。