广州恙虫病临床特点的演变与误诊分析  

Clinical features of tsutsugamushi disease and causes of misdiagnosis in Guangzhou

作　　者：冯婥[1] 何纬[2] 杜宇[1] 叶晓光[1] 

机构地区：[1]广州医学院第二附属医院感染病科,广东广州510260 [2]广州医学院附属荔湾医院感染病科,广东广州510130

出　　处：《中国热带医学》2008年第8期1331-1332,共2页China Tropical Medicine

摘　　要：目的分析广州恙虫病临床演变特点，提高临床医师对恙虫病的新认识，有助于降低误、漏诊率及病死率。方法将1984年8月-2007年12月广州医学院第二附属医院收治的广州地区恙虫病142例，按时间先后以2000年为界分两组进行回顾性分析比较。结果2000年后的恙虫病发病年龄高龄化、职业结构也有所变化，临床表现趋向多样化、复杂化，易出现多脏器损害，非典型病例多见，误诊率和死亡率有所增加。结论近十年来，恙虫病从流行病学、临床特征、甚至实验室检查方面发生了变化，趋向不典型，应引起临床医师的重视。Objective To analyze the clinical features of tsutsugamushi disease in Guangzhou City and offer reference for diagnosis and treatment of the disease. Methods There 142 tsutsugamushi disease paients were treated from August 1984 to December 2007 in the Second Affiliated Hospital of Guangzhou Medical College and the results were analyzed. Results Tsutsugamushi disease most occurred to the elderly after 2000 with diversified and complicated clinical features. Multiorganie lesions and atypical eases were common with increased misdiagnosis rate and fatalityh rate. Conclusion Attention be paid to the daignosis and treatment of tsutsugamushi disease to reduce the misdiagnosis and fatality rates.

关 键 词：恙虫病 临床特点 误诊 

分 类 号：R513.2[医药卫生—内科学]