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目的:总结恙虫病的临床特征及诊治经验。方法:回顾性分析2010年1月至2011年12月南方医科大学附属南海医院收治的59例恙虫病患者的临床资料。结果:发热是恙虫病最常见的症状(98.3%);焦痂、溃疡是最特异的体征(77.9%),其次是纳差(59.3%),畏寒(49.1%);合并肝损害(79.7%)最为常见,损害程度多为轻到中度,其次是合并血小板降低(47.5%)、肺炎(40.7%);使用四环素或多西环素结合保肝治疗效果良好。结论:恙虫病表现复杂多样,合并肝损害、血小板降低、肺炎较常见,误诊率高,早期诊断、早期治疗是关键。
Objective: To summarize the clinical features and diagnosis and treatment of scrub typhus. Methods: The clinical data of 59 patients with scrub typhus admitted to Nanhai Hospital Affiliated to Southern Medical University from January 2010 to December 2011 were retrospectively analyzed. Results: Fever was the most common symptom of scrub typhus (98.3%); eschar and ulcer were the most specific signs (77.9%), followed by anorexia (59.3%), chills (49.1%), hepatic impairment %) Were the most common, the most mild to moderate degree of damage, followed by a combination of thrombocytopenia (47.5%), pneumonia (40.7%); the use of tetracycline or doxycycline combined with hepatoprotective effect is good. Conclusion: Tsutsugamushi disease complicated and diverse performance, combined with liver damage, thrombocytopenia, pneumonia is more common, high misdiagnosis rate, early diagnosis and early treatment is the key.