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目的总结恙虫病并发心脏损害的临床特点。方法对恙虫病并发心脏损害37例进行分析。结果本组病例具备恙虫病四大临床特征(高热、皮疹、焦痂或溃疡、淋巴结肿大)外,同时有胸闷、心悸、气促。血清外斐反应OXk1:160-1:2560不等,病原体分离3例获恙虫病东方体。心电图显示:窦性心动过速7例,窦性心动过缓10例,ST-T改变9例,房性早搏、室性早博各5例,房颤2例,低电压16例,I-II度房室传导阻滞11例,心肌酶均升高为2倍以上。用氯霉素抗病原,营养心肌,对症、支持治疗均痊愈。结论恙虫病并发心脏损害临床常见,正确、合理、及时、有效的治疗,预后良好。
Objective To summarize the clinical features of scrub typhus complicated with heart damage. Methods Forty-seven cases of scrub typhus complicated with heart damage were analyzed. Results The group of patients with the four clinical features of tsutsugamushi (fever, rash, eschar or ulcer, enlarged lymph nodes), at the same time chest tightness, palpitations, shortness of breath. Serum Fifi response OXk1: 160-1: 2560 range, pathogen isolation in 3 cases of tsutsugamushi Oriental body. ECG showed: sinus tachycardia in 7 cases, 10 cases of sinus bradycardia, ST-T changes in 9 cases, atrial premature beats, 5 cases of ventricular premature beats, 2 cases of atrial fibrillation, low voltage in 16 cases, I- II degree atrioventricular block in 11 cases, myocardial enzymes were increased more than 2 times. Chloramphenicol anti-pathogen, nourishing the myocardium, symptomatic, supportive treatment were cured. Conclusion Tsutsugamushi disease complicated with heart damage is clinically common, correct, reasonable, timely and effective treatment, the prognosis is good.