自1989年以来,我院收治狂犬病6例,其中4例以精神症状为首发症状,在门诊以“精神分裂症”“急性心因性反应”等疾病误诊收入院,特异性症状出现后,进一步追问病史而确诊。为总结经验教训,现将4例误诊病例报道如下:例1,男,40岁,农民,住院号89623,“兴奋,语无伦次,拒食,不眠三天”于1989年10月24日门诊以“精神分裂症”收入院。当天下午即出现恐惧、怕水、怕光、怕风、呕吐黄粘条样物,追问病史,一个月前患者被狗咬伤左手腕,第二天用酒精清洁伤口,并注射狂犬疫苗。确诊为狂犬病,经抢救无效死亡。 Since 1989, 6 cases of rabies were admitted to our hospital, of which 4 were psychiatric symptoms as the first symptom in the clinic to “schizophrenia” “acute cardiogenic response” and other diseases misdiagnosed hospital, the specific symptoms appear further Question history and confirmed. In order to summarize the experiences and lessons learned, four cases of misdiagnosis are reported as follows: Example 1, male, 40 years old, farmer, hospital number 89623, “excitement, incoherent, antifeedant, Schizophrenia ”income hospital. Afternoon the same day there was fear, fear of water, fear of light, fear of the wind, vomit yellow sticky sample, history, one month before the patient was bitten by a dog left wrist, the next day with alcohol to clean the wound and rabies vaccine injection. Rabies diagnosed as having died of rescue invalid.