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目的:探讨小儿毒鼠强中毒误诊原因,减少误诊率。方法:对我院首诊误诊的毒鼠强中毒6例作回顾性分析。结果:误诊为氟乙酰胺中毒2例,一氧化碳中毒1例,病毒性脑炎2例,低钙惊厥1例。经静脉血毒物检测确诊后,经相应治疗,均痊愈出院。结论:小儿毒鼠强中毒容易误诊,临床中对其要高度警惕并充分认识,对可疑病例,尽早采集标本做毒物检测,可减少误诊率。
Objective: To investigate the causes of misdiagnosis of pediatric tetramine poisoning and to reduce the misdiagnosis rate. Methods: 6 cases of tetramine poisoning in our hospital were misdiagnosed as retrospective analysis. Results: Misdiagnosed as fluoroacetamide poisoning in 2 cases, carbon monoxide poisoning in 1 case, viral encephalitis in 2 cases, hypocalcemic convulsion in 1 case. After venous blood test confirmed by the corresponding treatment, were discharged. Conclusions: It is easy to misdiagnize pediatric tetramine poisoning. It should be highly vigilant and fully aware of it in clinical practice. Toxic samples should be collected as soon as possible in suspected cases to reduce the misdiagnosis rate.