Liashenko Iu I, Velichko M A
Voen Med Zh. 1993 Oct(10):37-40, 80.
Medical records of 876 servicemen of a young age who have suffered various forms of clinical diphtheria were analysed. (Lethal cases were marked in 52 cases--5.9%). A true clinical symptom complex for the diagnosis of diphtheria at pre-hospital period is as following: fever, intoxication and febrinous tonsillitis. The main cause of unfavourable outcome of the disease depends on the affection of cardiovascular, central and peripheral nerve systems by diphtheritic exotoxin. The most frequent limitations during medical care were the following: error diagnosis of angina (41%), late hospitalization and late specific treatment, insufficient doses of antidiphtheric serum, inopportune diagnosis of severe aggravations (infectious toxic shock, pneumonia).
对876名患有各种临床型白喉的年轻军人的病历进行了分析。（52例为致死病例，占5.9%）。院前白喉诊断的真实临床症状组合如下：发热、中毒和发热性扁桃体炎。疾病不良结局的主要原因取决于白喉外毒素对心血管、中枢和外周神经系统的影响。医疗护理期间最常见的限制因素如下：心绞痛误诊（41%）、住院延迟和特异性治疗延迟、抗白喉血清剂量不足、严重病情加重（感染性中毒性休克、肺炎）诊断不及时。
