目的 :探讨恙虫病并发中毒性肝炎的临床特点。方法 :按诊断标准选择病例进行临床分析。结果 :本组除了具有恙虫病特征性的临床表现外 ,同时出现黄疸占 2 3% (总胆红素平均 164μmol/ L)、出血点和瘀斑占 13% ,肝大占 77% ,脾大占 63%。AL T和 AST升高 ,平均分别为 2 95 U/ L和 2 4 0 U/L。使用特效抗菌药物和护肝退黄治疗有良效。结论 :恙虫病并发中毒性肝炎较常见 ,少数可出现严重的肝功能损害 Objective: To investigate the clinical characteristics of tsutsugamushi disease complicated with toxic hepatitis. Methods: According to the diagnostic criteria to select the case for clinical analysis. Results: In addition to the clinical manifestations of scrub typhus in this group, jaundice accounted for 23% (average total bilirubin 164 micromol / L), hemorrhage and ecchymosis 13%, hepatomegaly 77%, splenomegaly Accounting for 63%. ALT and AST increased with an average of 2 95 U / L and 240 U / L, respectively. The use of anti-bacterial drugs and liver Huangre treatment has good effect. Conclusion: Tsutsugamushi disease complicated with toxic hepatitis is more common, a few may have severe liver damage