临床误诊误治2017，Vol.30Issue(5)：38-40,3.DOI:10.3969/j.issn.1002-3429.2017.05.013
2型糖尿病漏误诊原因分析
Analysis of Missed Diagnosis and Misdiagnosed Causes of Patients with Type 2 Diabetes Mellitus
张进 1张建军 1张苗 1吴锋 1韦丽1
作者信息
- 1. 721000 陕西 宝鸡,宝鸡市人民医院内分泌科
- 折叠
摘要
Abstract
Objective To summarize missed diagnosis and misdiagnosed causes of patients with type 2 diabetes mellitus.Methods clinical data of 13 missed diagnosis or misdiagnosed patients with type 2 diabetes mellitus during January 2015 and April 2016 was retrospectively analyzed.Results Missed diagnosis and misdiagnosed rate in this group was 15.12%.Among the 4 misdiagnosed patients, 3 patients visited doctors for waist pain associated by both lower extremities numbness, and were misdiagnosed as having lumbar intervertebral disc protrusion;1 visited doctor for foot ulcers without incentives, and was misdiagnosed as having vasculitis, The misdiagnosed time was 2-7 d.Among the 9 missed diagnosis patients, 4 patients were misdiagnosed as having cholecystitis because of fever, abdominal pain associated by nausea and vomiting;3 patients were misdiagnosed as having urinary infection because of urinary frequency, urgency and urodynia;2 patients were misdiagnosed as having eczema complicated with infection because of skin rash, itching and flare in both lower extremities.The missed diagnosis time was 2 d-6 months.All patients were confirmed the diagnosis of type 2 diabetes mellitus after fasting blood glucose, 2 h postprandial blood glucose and glycosylated hemoglobin examinations, and were treated with controlling blood glucose and corresponding support treatment.Misdiagnosed patients' conditions significantly improved, while missed diagnosis patients had no recrudescence.Conclusion Diabetes mellitus is easily missed diagnosis or misdiagnosed because of atypical symptoms induced by complex complications, and therefore clinicians should comprehensively understand the related knowledge and its complications, carefully ask disease history and perform comprehensive examination so as to confirm diabetes mellitus as early as possible to avoid occurrence of missed diagnosis and misdiagnosis.关键词
糖尿病,2型/漏诊/误诊/椎间盘移位/血管炎Key words
Diabetes mellitus/type 2/Missed diagnosis/Misdiagnosis/Intervertebral disc displacement/Vasculitis分类
医药卫生引用本文复制引用
张进,张建军,张苗,吴锋,韦丽..2型糖尿病漏误诊原因分析[J].临床误诊误治,2017,30(5):38-40,3.
