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目的探讨恙虫病的早期诊断,提高医务人员对恙虫病的认识,减少误诊率。方法对本院2003年1月~2005年12月收治的32例恙虫病患者进行回顾性分析。结果32例均有发热,以弛张热多见,占71.9%(23/32),焦痂或溃疡31例(96.9%),外斐反应OXK阳性15例(46.9%)。经氯霉素或阿奇霉素治疗,体温48~96h恢复正常,治愈32例,无一例死亡。结论恙虫病在本地区是常见病,突发性高热伴全身多脏器累及者需考虑本病可能,早期诊治预后良好。
Objective To investigate the early diagnosis of tsutsugamushi disease and improve the understanding of tsutsugamushi disease among medical staff and to reduce the rate of misdiagnosis. Methods A retrospective analysis was performed on 32 patients with scrub typhus of our hospital from January 2003 to December 2005. Results All the 32 patients had fever, with 71.9% (23/32) of remission fever, 31 cases of eschar or ulcer (96.9%) and 15 (46.9%) of OXK positive reaction. Chloramphenicol or azithromycin treatment, body temperature 48 ~ 96h returned to normal, 32 cases were cured, without any death. Conclusion Tsutsugamushi disease is a common disease in the region, sudden high fever with systemic multiple organ involvement need to consider the possibility of this disease, early diagnosis and treatment of a good prognosis.