岭南恙虫病32例诊治分析  

Clinical Analysis of 32 Cases of Tsutsugamushi Disease in South China

作　　者：林兴栋[1] 杨德福[1] 甘慧英[1] 史志云[2] 钟嘉熙[2] 

机构地区：[1]广州中医药大学第一附属医院,广东广州510405 [2]广州中医药大学,广东广州510405

出　　处：《中国中医药信息杂志》2004年第7期616-617,共2页Chinese Journal of Information on Traditional Chinese Medicine

摘　　要：目的提高对恙虫病的认识。方法回顾分析32例恙虫病的临床及救治过程。结果岭南恙虫病发病没有明显地区性和季节性,32例恙虫病患者临床症状复杂而多样,并发症多,易引起多脏器损害,实验室检查异型淋巴细胞升高,血小板降低明显,中西医结合治疗本病平均热退时间为4.5d,5～10d内临床症状恢复正常。结论岭南恙虫病在发病方式和临床症状方面均具有多样性特点,中西医结合治疗本病有一定的优势。Objective To improve the recognition of tsutsugamushi disease. Method Review the clinical process and therapeutic methods of 32 case of patients with tsutsugamushi disease in South China. Result It shows no obvious regional and seasonal disposition in the occurrence of tsutsugamushi disease. The clinical symptoms are complex with multiple complication. In the pathogenic course, it often do damage to multiple organs, and give rise to the ascent of heterotypical lymphocyte and distinctive descent of platelet. Treated by the method of combining traditional Chinese medicine and western medicine, it can recover from clinical symptoms within 5～10 days with the mean defervescence of 4.5 days. Conclusion It suggest that tsutsugamushi disease in South China have varied manifestation in it's occurrence and clinical symptoms, the therapeutic method of combining traditional Chinese medicine and western medicine have the advantage over others in the treatment.

关 键 词：恙虫病 诊断 误诊 中西医结合疗法 流行病学调查 

分 类 号：R513.2[医药卫生—内科学]