布鲁氏菌病3例临床分析  

Clinical Analysis of 3 Patients with Brucellosis

作　　者：赖宇[1] 乔晓禹[2] 梁佩芬[1] 

机构地区：[1]中山大学孙逸仙纪念医院,510120 [2]中山大学附属第三医院

出　　处：《岭南急诊医学杂志》2010年第6期464-465,共2页Lingnan Journal of Emergency Medicine

摘　　要：目的:分析布鲁氏菌病的流行病学、诊断及治疗。方法:3例布鲁氏菌病患者分别应用利福平+链霉素、利福平+链霉素+强力霉素或强力霉素+依替米星治疗。结果:3例均治愈,随访1-3年无复发。结论:布鲁氏菌病在广州并非常见,易延误诊断。对与猪羊牛等牲畜有密切接触史的患者出现发热及/或腰痛时需留意布鲁氏菌病,诊断依靠细菌培养。治疗以四环素类+利福平或氨基糖苷类药物联合抗生素为主,且需足疗程应用。Objective： To analyze the epidemiology of brucellosis, also the diagnosis and management. Methods：3 patients with brucellosis were respectively treated by rifampin and streptomycin, or by rifampin and streptomycin and doxyeyclin, or by doxycycline and etimicn. Result： 3 cases were cured, and were followed up 1 to 3 years after discharged from hospital and no cases were found recurrence. Conclusion： In Guangzhou, brucellosis is uncommon. Diagnosis is difficult and frequently delayed. For the patient with fever and/or back pain who had a history of close contact with pigs, cattle and sheep, we need to pay more attention to brucellosis. The diagnosis of Brucellosis relies on blood bacterial cultures. Rifampin or tetracycline ＋ aminoglycoside antibiotics in combination are the main treatment, and they need to be used in the full course of treatment.

关 键 词：布鲁氏杆菌病 布鲁氏杆菌 临床分析 

分 类 号：R516.7[医药卫生—内科学]