南阳地区恙虫病49例临床分析  

Clinical Analysis of 49 Cases with Tsutsugamushi Disease in Nanyang District

作　　者：罗新华[1] 翟立新[2] 杜钦玲[2] 孙可[2] 

机构地区：[1]南阳卫校微生物学教研室,河南南阳473058 [2]南阳市第一人民医院皮肤病专科,河南南阳473058

出　　处：《河南科技大学学报（医学版）》2004年第1期17-18,共2页Journal of Henan University of Science & Technology:Medical Science

摘　　要：目的　对非疫区恙虫病的临床特点进行分析。方法　收集 1 994～ 2 0 0 3年南阳地区恙虫病患者 49例的临床资料 ,对发病季节、年龄、职业分布、临床症状、实验室检查及治疗进行回顾分析。结果　 1 0年内共发病 49例 ,3～ 1 5岁 2 9例 ,1 8～45岁 2 0例 ,以农村儿童及农民居多 ,临床症状多样 ,主要有发热 ( 81 .6% ) ,局部淋巴结肿大( 91 .8% ) ,焦痂溃疡 45例 ( 91 .8% ) ,并可造成其他脏器损害 ,使用红霉素治疗有效。结论　对非疫区发生的恙虫病应以重视 ,恙虫病的临床表现多样化 ,应提高非疫区临床医师对本病的重视。Objective To make a thorough study on clinical data of Tsutsugamushi disease. Method 49 cases aimed at analyzing the clinical features of this disease. Results Fever occurred in 40 cases(81.6%);Lymphadenetasis occurred in 45 cases(91.8%);Injury of other organs occurs in 16 cases(32.7%);Antibiotics and erythromycin were available in the treatment of this disease. Conclusion Tsutsugamushi disease in non-epidermics-stricken-areas should pay great attention to especially clinicians in these areas,and the clinical manifestition of tsutsugamushi disease is of great diversity.

关 键 词：南阳地区 恙虫病 临床特点 实验室检查 发病季节 

分 类 号：R513.2[医药卫生—内科学]