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现将我院于1990～1997年间收治的62例肺弥漫性出血型钩端螺旋体病(简称钩体病)的临床特征,治疗经过及转归进行分析。1 临床资料 1.1 诊断依据 有明确的流行病学史。典型的临床表现,并经钩体凝溶试验阳性确诊为钩体病。同时伴有渐进性感染中毒和神经精神症状,面色苍白,进行性心率,呼吸加快,肺部(口罗)音进行性增加,X线检查示:双肺弥漫性阴影者。1.2 一般资料 62例中,男38例,女24例,年龄6～65岁,其中15～40岁,占67.74％(42例)。所有患者均来自疫区,在流行季节(7～9月)发病。入院时平均病程:(4.56±1.42)天。先兆期36例,极期18例,垂危期8例。
Now in our hospital in 1990 to 1997 admitted to 62 cases of pulmonary diffuse hemorrhagic leptospirosis (leptospirosis) clinical features, treatment and outcome of the analysis. 1 clinical data 1.1 diagnosis based on a clear history of epidemiology. Typical clinical manifestations, and confirmed by leptospirosis coagulation test as leptospirosis. At the same time with progressive poisoning and neuropsychiatric symptoms, pale, progressive heart rate, respiratory rate, pulmonary (oral Luo) tone increased, X-ray showed: diffuse shadow of the lungs. 1.2 General Information 62 cases, 38 males and 24 females, aged 6 to 65 years, of which 15 to 40 years old, accounting for 67.74% (42 cases). All patients were from the epidemic area, in the epidemic season (July to September) onset. The average duration of admission: (4.56 ± 1.42) days. 36 cases of preeclampsia, 18 cases of extreme, dying in 8 cases.