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目的:回顾性分析非牧区伴随发热症状的布鲁菌病的临床特征,探讨其早期诊断经验。方法:分析我院收治的4例布鲁菌病住院患者的就诊经过、临床表现及实验室检查等临床资料。结果:布鲁菌病临床表现复杂多变,可表现为发热、疲劳、多汗、关节疼痛、睾丸痛、肝脾大等,但缺乏特异性,羊及其制品为主要传染源。结论:布鲁菌病临床表现不典型,行实验室检查中血培养的采集方式及时间至关重要,临床医师应加强对该病的认识,提高早期诊断率。
Objective: To retrospectively analyze the clinical features of brucellosis with fever in non-pastoral areas and to discuss its early diagnosis experience. Methods: Four cases of brucellosis hospitalized in our hospital were analyzed. The clinical data, such as clinical manifestations and laboratory tests, were analyzed. Results: The clinical manifestations of brucellosis complicated and varied, can be manifested as fever, fatigue, sweating, joint pain, testicular pain, hepatosplenomegaly, etc., but the lack of specificity, sheep and their products as the main source of infection. Conclusion: The clinical manifestations of brucellosis are not typical. It is very important to collect the blood culture and time in laboratory examination. Clinicians should strengthen the understanding of the disease and improve the early diagnosis rate.