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目的加强对小儿恙虫病临床特点的认识,提高诊断及治疗水平。方法回顾分析本院1995年-2010年104例小儿恙虫病的临床特点及治疗预后,总结经验,减少误诊。结果 104例患儿均有高热,103例均发现焦痂或溃疡,52例淋巴结肿大,13例见皮疹,肝大17例,脾大6例。外斐氏试验阳性68例。误诊24例。氯霉素、四环素治疗有效。结论小儿恙虫病的临床表现形式多样,以发热、焦痂或溃疡、淋巴结肿大为特征,焦痂或溃疡是其最特异的表现,仔细体格检查,能减少误诊。氯霉素和四环素治疗效果佳,是治疗恙虫病的经典药物。
Objective To strengthen the understanding of the clinical features of pediatric scrub typhus and improve the level of diagnosis and treatment. Methods A retrospective analysis of our hospital from 1995 to 2010 104 cases of pediatric scrub typhus clinical features and prognosis, sum up experience and reduce misdiagnosis. Results All the 104 children had fever, esophagitis or ulcer were found in 103 cases, swollen lymph nodes in 52 cases, rash in 13 cases, hepatic enlargement in 17 cases and splenomegaly in 6 cases. Foreign Pei’s test was positive in 68 cases. Misdiagnosis in 24 cases. Chloramphenicol, tetracycline effective treatment. Conclusion The clinical manifestations of pediatric scrub typhus are diverse, characterized by fever, eschar or ulcer, and swollen lymph nodes. Eschar or ulcer are their most specific manifestations. Careful physical examination can reduce misdiagnosis. Chloramphenicol and tetracycline treatment is good, is the classic drug treatment of tsutsugamushi disease.