| 急性视网膜坏死综合征的误诊分析 |
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| 引用本文： | 王绍伟,张少冲,李梅,曾骏文.急性视网膜坏死综合征的误诊分析[J].中国实用眼科杂志,2008,26(3). |
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| 作者姓名： | 王绍伟 张少冲 李梅 曾骏文 |
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| 作者单位： | 中山大学中山眼科中心、眼科学国家重点实验室,广州,510060 |
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| 摘 要： | 目的 分析急性视网膜坏死综合征(Acute retinal necrosis syndrome,ARN)临床诊断中存在的问题.方法 收集1998年1月至2006年10月中山眼科中心确诊住院治疗、以往资料完整的114例ARN病人的临床资料,重点分析初诊时误诊、漏诊原因,发病至确诊时间、确诊前诊断、治疗等情况.结果 114例(141眼)ARN病人的盲目率(42/141)为29.79%;初诊时,Ⅰ、Ⅱ、Ⅲ-Ⅳ期误诊率分别为61/70(87.14%)、23/25(93.0%)、13/19(73.68%),发病至确诊时间最短为3 d,最长为420 d,平均为46.16 d.结论 ARN综合征漏诊、误诊率较高,急需提高ARN的早期确诊率使病人保存部分有用视力.
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| 关 键 词： | 急性视网膜坏死综合征 诊断 误诊 漏诊 |
Analysis of the misdiagnosis and missed diagnosis of Acute Retinal Necrosis syndrome in China |
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| WANG Shao-wei,ZHANG Shao-chong,Li Mei,ZENG Jun-wen.Analysis of the misdiagnosis and missed diagnosis of Acute Retinal Necrosis syndrome in China[J].Chinese Journal of Practical Ophthalmology,2008,26(3). |
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| Authors: | WANG Shao-wei ZHANG Shao-chong Li Mei ZENG Jun-wen |
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| Abstract: | Objective To investigate the present status in the diagnosis of Acute Retinal Necrosis syndrome in China.Methods Clinic data of 114 in-patients with ARN syndrome from January 1998 to October 2006 in Zhongshan Ophthalmic Center were retrospectively analyzed,especially with respects to the former misdiagnosis and missed diagnosis.Results Blindness occurred in 29.79% of these investigated patients.Misdiagnosis or missed diagnosis occurred in 87.14%,93.0% and 73.68% of these patients respectively in Ⅰ,Ⅱ and Ⅲ-Ⅳ stage.The average duration between ARN onset and the time to make correct diagnosis was 46.16 days.Conclusions The misdiagnosis or missed diagnosis of ARN syndrome is very common in China.It is absolutely necessary to improve earlier diagnosis rate and recover some useful vision. |
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| Keywords: | Acute retinal necrosis syndrome Diagnosis Misdiagnosis Missed diagnosis |
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