恙虫病致肺损害29例临床分析

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恙虫病是由恙虫病立克次体引起的急性传染病,在我国东南沿海及西南地区发病率较高。近年来,恙虫病发病有增高趋势,临床表现趋于多样、复杂化,并可导致全身多脏器损害。现将恙虫病致肺损害29例报道如下。临床资料温州医学院附属第一医院及附属第二医院1990年3月至2005年6月共收治恙虫病49例,其中伴肺部损害的29例(59%),男19例,女10例,年龄16~73岁,平均47岁。农民19例,有明显野外活动或坐卧草地史23例。临床表现及辅助检查:所有病例均有发热,其中体温≥39℃者24例(83%),体温<39℃者5例(17%),全身酸痛 Tsutsugamushi disease is caused by Rickettsia tsutsugamushi acute infectious diseases, in China’s southeast coast and southwest higher incidence. In recent years, the incidence of scrub typhus have increased trend, the clinical manifestations tend to be diverse and complex, and can lead to multiple organ damage. 29 cases of lung damage caused by tsutsugamushi disease are reported below. Clinical data Wenzhou First Affiliated Hospital of Affiliated Hospital and Affiliated Second Hospital from March 1990 to June 2005 were treated 49 cases of tsutsugamushi disease, including pulmonary damage in 29 cases (59%), 19 males and 10 females , Aged 16 to 73 years old, with an average of 47 years old. 19 farmers, there are obvious field activities or lying grassland history of 23 cases. Clinical manifestations and laboratory examinations: All patients had fever, including 24 cases (83%) with body temperature ≥39 ℃, 5 cases (17%) with body temperature <39 ℃, body aches
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