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1.本文总结贵州所见钩端螺旋体病77例的临床表现;2.本组病例常见临床表现有咳嗽(61.8％),咳血(46.8%),临床黄疸型(5.4％)少见;3.肺 X 线照片14例全部有双侧中下肺野广泛点状,絮状或片状阴影,常波及全肺;4.出血时间,凝血时间,凝血酶元时间,血小板计数均正常,束臂试验基本正常;5.依病情轻重分为轻型(23.4％),中等型(49.4％),重型(27.2％);6.以青霉素+金霉素,止血剂,及中药治疗为主,除4例在入院24小时内死于大咳血和呕血外,余均治愈。
1. This article summarizes the clinical manifestations of leptospirosis seen in Guizhou in 77 cases; 2. The common clinical manifestations of this group were cough (61.8%), hemoptysis (46.8%), clinical jaundice (5.4%) rare; Pulmonary radiographs in 14 cases were extensively dot-like in both sides of the middle and lower lung fields, flocculent or flaky shadows, often spread to the whole lung; 4 bleeding time, clotting time, thrombin time, platelet count were normal, (23.4%), moderate (49.4%), heavy (27.2%); 6. Penicillin + chlortetracycline, hemostatic agents and traditional Chinese medicine treatment, with the exception of 4 Cases within 24 hours of admission died of large hemoptysis and hematemesis, I were cured.