目前钩端螺旋体病的病死率平均约10%,而最高病死率在国内外仍高达21%及40%。为了提高医疗质量、降低病死率,有必要对本病的死亡原因、影响预后的因素及临床类型与死亡之关系等进行深入的了解。作者等所收集广州市1953—1982年的573例中(黄疸型占60%), At present, the mortality rate of leptospirosis is about 10% on average, while the highest case fatality rate is still as high as 21% and 40% both at home and abroad. In order to improve the medical quality and reduce the mortality rate, it is necessary to make a deep understanding of the cause of death, the factors affecting the prognosis and the relationship between the clinical type and death. The authors collected 573 cases from 1953 to 1982 in Guangzhou (jaundice accounted for 60%),