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目的分析恙虫病典型与特殊临床表现,为准确诊断提供依据。方法回顾性分析30例确诊恙虫病住院患者的临床资料。结果 30例患者除发热、特异性溃疡或焦痂、淋巴结肿大、肝损害等典型表现外,特殊表现包括肺炎16例(53.3%)、心肌炎10例(33.3%)、肾损害9例(30.0%)、脑膜炎2例(6.7%)、胰腺炎1例(3.3%);确诊恙虫病合并流行性出血热感染1例。结论恙虫病临床表现复杂,易误诊。详细询问流行病学史、全面查体、完善检验是减少误诊关键。采取灭鼠、灭恙螨和个体防护等综合防治措施。
Objective To analyze the typical and special clinical manifestations of scrub typhus and provide basis for accurate diagnosis. Methods The clinical data of 30 hospitalized patients with scrub typhus were retrospectively analyzed. Results Thirty patients had typical manifestations of pneumonia (53.3%), myocarditis (33.3%) and renal damage (9.0%) in addition to the typical manifestations of fever, specific ulcer or eschar, lymph node enlargement and liver damage %), Meningitis in 2 cases (6.7%) and pancreatitis in 1 case (3.3%). One case was diagnosed as tsutsugamushi disease with epidemic hemorrhagic fever. Conclusion The clinical manifestation of scrub typhus is complicated and easily misdiagnosed. Asked in detail the history of epidemiology, a comprehensive examination, improve the test is to reduce the key to misdiagnosis. Take rodent control, eliminating chigger mites and individual protection and other comprehensive prevention and treatment measures.