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本院自1989年以来恙虫病患儿逐年增多,其中6例并发脑膜脑炎者均被误诊,现分析如下。 临床资料 男4例,女2例;年龄:2 8/12～6岁;发病季节:分布于7～12月。临床表现:6例均有不同程度发热,入院时体温37℃～41℃,驰张热2例;稽留热1例,不规则热3例,2例伴寒颤。头痛3例,呕吐5例,抽搐1例,精神萎靡、嗜睡4例,烦躁不安3例,布氏征(+)5例,克氏征(+)4例,巴氏征(+)4例,腹痛2例,腹泻1例,咳喘2例,肺部罗音1例,皮疹焦痂1例,肝肿大、脾肿大各1例,淋巴结肿
Our hospital since 1989, scrub typhus children increased year by year, of which 6 cases of meningoencephalitis were misdiagnosed, are analyzed as follows. Clinical data of 4 males and 2 females; age: 2 8/12 to 6 years; onset season: distributed in July to December. Clinical manifestations: 6 cases had different degrees of fever, admission temperature 37 ℃ ~ 41 ℃, relaxation fever in 2 cases; missed heat in 1 case, irregular heat in 3 cases, 2 cases with chills. 3 cases of headache, 5 cases of vomiting, 1 case of convulsions, 4 cases of apathetic, drowsiness, 3 cases of irritability, 5 cases of Buchner sign (+), 4 cases of Kirschner symbol , 2 cases of abdominal pain, 1 case of diarrhea, 2 cases of cough and asthma, 1 case of pulmonary rales, 1 case of rash and eschar, 1 case of hepatomegaly and 1 case of splenomegaly and 1 case of lymph nodes