钩端螺旋体病(下称钩体病)临床表现复杂,早期易误诊或漏诊,影响预后。本文就确诊为钩体病的226例患者的早期(3天内)表现和实验室一般检查予以分析,探讨其在基层医院早期诊断中的意义。一般资料226例中男154例,女72例。年龄多集中在11～40岁,共占168例(74.33%)。职业以农民最多,占193例(85.89%)。发病季节在7～9月。全部病 Leptospirosis (hereinafter referred to leptospirosis) clinical manifestations of complex early misdiagnosis or missed diagnosis, affecting the prognosis. In this paper, 226 patients diagnosed as leptospirosis early (3 days) performance and laboratory tests to be analyzed to explore its significance in the early diagnosis of primary hospital. General information 226 cases of male 154 cases, 72 females. Mostly concentrated in the 11 to 40 years old, a total of 168 cases (74.33%). Occupation to farmers up, accounting for 193 cases (85.89%). The onset of the season in July and September. All disease