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自1997年6月至1999年11月,我院共收治恙虫病病人48例,对其临床特点及误诊原因做如下分析。1 临床资料1.1 诊断标准 (1)有野外接触史;(2)突发高热并出现特异性焦痂或溃疡;(3)淋巴结肿大、肝脾肿大、皮疹;(4)外裴氏反应 OXK1∶80以上。具有其中3项以上可做出诊断。本组48例均具有上述3项以上而确诊。1.2 流行病学男性30例,女性18例,年龄27岁～59岁,平均38岁。1997年、1998年各2例,1999年44例。发病季节7月～11月,高峰期9月～10月,共40例,占83.3%,均有野
From June 1997 to November 1999, 48 cases of tsutsugamushi disease were treated in our hospital. The clinical characteristics and the causes of misdiagnosis were analyzed as follows. 1 clinical data 1.1 diagnostic criteria (1) history of exposure to the wild; (2) sudden high fever and the emergence of specific eschar or ulcer; (3) lymph nodes, hepatosplenomegaly, rash; (4) external Pei’s reaction OXK1: 80 above. With more than three of them can make a diagnosis. The group of 48 patients with the above three were diagnosed. 1.2 Epidemiology Male 30 cases, 18 females, aged 27 years to 59 years, mean 38 years. 2 in 1997 and 1998 and 44 in 1999. Incidence season from July to November, the peak from September to October, a total of 40 cases, accounting for 83.3%, both wild