中国实用儿科杂志
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摘要: 遗传代谢病种类繁多,临床表现多样,缺乏特异性,个体差异较大,容易与常见疾病混淆,引起误诊和漏诊。遗传代谢病涉及多个器官系统,可以表现为神经精神损害、心血管疾病、肾脏疾病、肝脏疾病、血液系统疾病、皮肤病以及骨病等,临床诊断困难,需要依靠特殊生化检测和基因分析。因此,对于一些常见疾病、治疗效果不佳或有难以解释的临床症状和实验室检查时,需要进一步分析病因,减少误诊,才能精准治疗,改善预后。
关键词: 遗传代谢病, 常见病, 误诊, 精准治疗
Abstract: There are various kinds of inherited metabolic disorders and the manifestations are non-specific,diversified and individualized. They can mimic different diseases and are easily misdiagnosed or with missed diagnosis. Many organs can be impaired by inherited metabolic disorders,resulting in neurological or psychiatric diseases,cardiovascular diseases,renal diseases,hepatic diseases,hematologic diseases,skin diseases and bone diseases. The clinical diagnosis is difficult and relies on special biochemical tests and genetic analysis. Therefore,for the patients with a condition whose clinical symptoms and laboratory examinations cannot be explained or those who get an unsatisfied treatment outcome,a further investigation into the causes is needed to reduce the misdiagnosis,so that precise treatment can be performed and prognosis be improved.
Key words: inherited metabolic disorders, common disease, misdiagnosis, precise treatment
陈哲晖,杨艳玲. 警惕容易被误诊的遗传代谢病[J]. 中国实用儿科杂志, DOI: 10.19538/j.ek2020070601.
CHEN Zhe-hui,YANG Yan-ling. Paying attention to the inherited metabolic disorders which are easily misdiagnosed[J]. CJPP, DOI: 10.19538/j.ek2020070601.
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http://www.zgsyz.com/zgsyek/CN/Y2020/V35/I7/497