误诊是医生、病人都不愿体验的事。然而,临床上只要有诊断,就可能发生误诊。随着医学的发展,各种现代化的检查仪器不断涌现,诊断手段虽有了长足的进步,但临床误诊率并没有因此而下降。一些常见病的误诊率之高还是相当惊人的,有资料表明某些医科大学附属医院八十年代临床诊断与病理诊断不符合者达32.5%。许多疾病,包括疑难病,只要早期确诊,就能获得理想的治疗效果。可见,减少误诊是临床医学发展的迫切任务。本文作者是一位常年在基层医院从事临床工作的主治大夫,他在实践中收集的这些病例或许能让我们认识到误诊的几种成因,帮助我们在就诊时减少误诊的发生。 Misdiagnosis is a doctor, patients are unwilling to experience things. However, as long as there is a clinical diagnosis, misdiagnosis may occur. With the development of medicine, all kinds of modern examination instruments are constantly emerging. Although the diagnostic methods have made great strides, the rate of clinical misdiagnosis has not dropped. The rate of misdiagnosis of some common diseases is quite high. There are some data indicating that 32.5% of the patients did not meet the clinical diagnosis and pathological diagnosis in some medical university affiliated hospitals in the 1980s. Many diseases, including difficult diseases, as long as the early diagnosis, you can get the desired effect of treatment. Visible, reduce misdiagnosis is an urgent task of clinical development. The author of this article is a chief physician who has been engaged in clinical work in primary hospitals all the year round. The cases he collected in practice may help us to recognize several causes of misdiagnosis and help us to reduce misdiagnosis during the visit.