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目的总结头颈部猫抓病淋巴结炎的临床表现、实验室检查,以提高对该病的临床诊治水平。方法收集我科1997～2007年经病理确诊的20例头颈部猫抓病淋巴结炎病例,进行回顾性分析。结果本组病例中均有猫狗密切接触史,其中有猫抓伤史12例。临床症状以头颈部浅表淋巴结肿大为主,伴低热、乏力等不适;实验室检查无明显特异性表现。临床上初诊符合率较低。结论头颈部猫抓病淋巴结炎在临床缺乏特异性的临床表现,临床医生应提高诊治该病的准确率。头颈部猫抓病淋巴结炎行感染治疗配合手术治疗,预后良好。
Objective To summarize the clinical manifestations and laboratory tests of cat scratch lymphadenitis in head and neck to improve the clinical diagnosis and treatment of the disease. Methods Twenty cases of cat scratch lymphadenitis were collected from 1997 to 2007 in our department, and retrospectively analyzed. Results In this group of patients, both cats and dogs had close contact history, including 12 cases of cat scratch. Clinical symptoms of head and neck superficial lymph nodes enlargement, with fever, fatigue and other discomfort; no obvious specific laboratory tests. Clinically the initial visit with a lower rate. Conclusion Head and neck cat scratch lymphadenitis in the clinical lack of specific clinical manifestations, clinicians should improve the accuracy of diagnosis and treatment of the disease. Head and neck Cat scratch lymphadenitis line infection with surgical treatment, the prognosis is good.