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目的了解恙虫病的临床特点和诊治。方法收集49例恙虫病患者的临床资料进行回顾性分析。结果49例均有不同程度的发热,其中特征性焦痂或溃疡47例(95.9%),局部淋巴结肿大39例(79.6%),皮疹36例(73.5%),头痛41例(83.7%)。49例经氯霉素、多西环素或阿奇霉素治疗后均获痊愈。结论恙虫病的临床表现多样性。氯霉素是治疗恙虫病的首选,不宜使用氯霉素者可选用四环素族或大环内酯类抗生素。
Objective To understand the clinical features and diagnosis and treatment of scrub typhus. Methods The clinical data of 49 patients with scrub typhus were collected for retrospective analysis. Results All the 49 patients had different degrees of fever, including 47 cases (95.9%) of characteristic eschar or ulcer, 39 cases (79.6%) of local lymphadenopathy, 36 cases (73.5%) of rash and 41 cases (83.7% . 49 cases of chloramphenicol, doxycycline or azithromycin were cured. Conclusion The clinical manifestations of scrub typhus are diverse. Chloramphenicol is the first choice for the treatment of tsutsugamushi disease, should not be used chloramphenicol tetracycline or macrolide antibiotics.