恙虫病肺部合并症的临床分析  

A Clinical Analysis of Pulmonary Complications Associated with Tsutsugamushi Disease

作　　者：顾起有[1] 

机构地区：[1]广东省南雄市人民医院内科,广东南雄512400

出　　处：《河北医学》2006年第4期350-352,共3页Hebei Medicine

摘　　要：目的:探讨恙虫病肺部合并症的临床特点。方法:对32例存在肺部合并症的恙虫病患者,通过症状和体征、X线胸片、胸部B超、血气分析、误诊情况等进行回顾性分析。结果:肺部合并症占同期恙虫病患者的39.02%(32/82),临床误诊为其他肺疾患占37.5%(12/32)。临床症状大多较轻,咳嗽咳痰22例(68.75%),有肺部罗音17例(53.12%)。X线胸片:肺部炎性渗出性病变占65.62%(21/32),肺间质炎性改变占34.38%(11/32),有胸膜病变12例(37.5%),B超胸腔积液10例(31.25%)。结论:恙虫病肺部合并症临床表现多样化,误诊率高,应引起重视。Objective： To resereh the clinical feature of pulmonary complications associated with tsutsugamushi disease. Method： Thirty -two patients who had pulmonary complications associated with tsutsugamushi disease were retrospectively analyzed by signs and symptoms, chest radiographs, chest B -ultrasound , blood gas analysis and condition of misdiagnosis. Result： pulmonary complications were present in 39.02% （ 32/82 ） of the patients with tsutsugamushi disease. Of them 37.5% （ 12/32 ） were initially misdiagnosed as other pulmonary disease. The most clinical symptoms were mild, 22 cases （ 68.75% ） had cough and sputum,17 cases （53.12%） had tales. Chest X -rays：65.62% （21/32） showed pulmonary inflammatory effusion lesion ,34.38% （11/32） pulmonary interstitial inflammatory lesion and 12 cases pleural lesion,10 cases （31.25%） of pleural effusion was confirmed by chest B -ultrasound. Conclusion： The clinical manifestation of pulmonary complications associated with tsutsugamushi disease were multiplicity, misdiagnosis rate were high. we shoud paid more attention.

关 键 词：恙虫病 肺部合并症 分析 

分 类 号：R513[医药卫生—内科学]