妊娠合并恙虫病21例临床分析  

Clinical features of 21 pregnant women with scrub typhus

作　　者：吴翠萍[1] 曹显刚[1] 夏德全[1] 

机构地区：[1]山东省潍坊医学院附属青州医院感染科,262500

出　　处：《中华全科医师杂志》2010年第2期128-129,共2页Chinese Journal of General Practitioners

摘　　要：回顾性分析21例妊娠合并恙虫病患者临床资料。21例患者均发热，淋巴结肿大13例，充血性斑丘疹12例，皮肤焦痂、溃疡11例；变形杆菌OXk凝集试验阳性20例；17例给予土霉素治疗，余4例使用阿奇霉素治疗。21例孕妇全部治愈；7例于孕37周自然分娩，9例引产终止妊娠，3例自然流产，2例早产。妊娠合并恙虫病对孕妇和胎儿危害极大，建议孕妇一经确诊，早日对症用药，避免病情恶化，降低病死率。Clinical data of 21 pregnant women with scrub typhus were analyzed retrospectively. They all had fever, 13 of them with lymph nodes enlargement, 12 with skin rashes, 11 with eschar or ulcer, and 20 positive with Weil-Felix reaction. Oxytetracycline was given in 17 of them and other four were treated by azithromycin, with all cured. Seven of them gave natural childbirth at the 37th week of gestation, nine were aborted inductively, three aborted spontaneously and two delivered premature births. Scrub typhus was harmful to both pregnant women and their fetuses, early diagnosis and treatment are necessary for patients with it for avoiding exacerbation and reducing fatality.

关 键 词：妊娠 丛林斑疹伤寒 

分 类 号：R513.2[医药卫生—内科学]