小儿长期发热误诊分析

目的：探讨小儿儿长期发热的误诊原因。方法：选取2003年7月至2008年7月在我科住院的长期发热误诊患儿共34例,对其临床资料作统计分析。结果：误诊为上呼吸道感染的17例（50．00％）;其次是败血症、肺炎各5例（各占14．71％）;误诊原因包括临床症状不典型、一些必要的实验室检查不及时以及抗生素、激素滥用等。结论：小儿长期发热病因复杂,临床表现多样,临床上应全面考虑,综合判断,以减少误诊率。

Analysis of Misdiagnosis of Children with Long-term Fever

Objective: To explore the reasons of misdiagnosis of children with long-term fever.Method: 34 children with long-term fever in our hospital from July 2003 to July 2008 were selected,and their clinical data of misdiagnosis were analyzed retrospectively.Result: There were 17 cases(50.00%) misdiagnosed as upper respiratory tract cold,5 cases(14.71%) misdiagnosed as septemia and pneumonia respectively.The reason of misdiagnosis were that clinical manifestation was not typical,some necessary laboratory examinations were not done in time,misuse antibiotics and glucocorticosteroid.Conclusion: The cause of long-term fever in children is complicated,and its clinical manifestation is multiplicity,so the doctor must consider overally and judge it syntheticly to decrease misdiagnosis rate.