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钩端螺旋体病早期床症状复杂,特别对散发或轻型的病例,每易误诊。本院自1959年6月到1962年11月间,经血清学或病原分离而证实之52例中,于入院后一周仍未确诊者即有32例(61%),很值得重视。为了争取早期确诊,进一步探讨误诊原因,对提高治愈率和加强预防,都有很大意义。临床分析一、季节性:发病多在6-11月间,其中8-9月占30例,而12月-1月者仅3例。二、感染来源:52例中有25例在水稻田参加夏收或秋收劳动;8例因赤足进入猪圈工作;13例曾到山谷洼地开荒或池塘中打捞猪饲料;2例于洪水期在江水中架桥,致成批或散发感染。
Leptospirosis early bed symptoms are complex, especially for sporadic or light cases, each easy to misdiagnosis. In our hospital from June 1959 to November 1962, of 52 cases confirmed by serological or pathogenic isolation, 32 cases (61%) were still not diagnosed in the week after admission, which is very worthy of attention. In order to win the early diagnosis, to further explore the causes of misdiagnosis, to improve the cure rate and strengthen prevention, are of great significance. Clinical analysis First, the seasonal: the incidence of mostly in the 6-11 months, of which 8-9 months accounted for 30 cases, while December-January only 3 cases. Second, the source of infection: 25 cases of 52 cases of summer harvest or autumn harvest in the paddy fields to participate in labor; 8 cases due to barefoot into the work of the pen; 13 cases had to reclaim land reclamation in the valley depression or pond feed; 2 cases during the flood in the river In the bridge, caused by bulk or distributed infection.