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目的 分析 50例恙虫病肺部合并症的临床表现 ,以提高其早期诊断率。方法 对 2 32例恙虫病患者 ,通过X线胸片、胸部B超、肺功能检测等方法进行回顾性分析 ,并对其肺合并症与支原体肺炎、肺炎链球菌肺炎、浸润性肺结核的鉴别诊断进行了讨论。结果 肺合并症占同期恙虫病患者的 2 1 .6 % (50例 / 2 32例 )。临床误诊为其他肺疾患占 42 %。胸片基本为渗出性病变 ,表现为双侧肺浸润 36例 (72 % ) ,单侧肺浸润 1 4例 (2 8% ) ,其中 1 6例伴有胸膜病变。所有病例经氯霉素治疗痊愈。结论 肺部合并症为恙虫病的常见并发症 ,如能早期诊断 ,及时治疗 ,预后较好
Objective To analyze the clinical manifestations of 50 cases of scrub typhus with pulmonary complications to improve its early diagnosis rate. Methods Two hundred and twenty-two tsutsugamushi patients were retrospectively analyzed by X-ray, B-ultrasonography and pulmonary function test. The differential diagnosis of pulmonary complications and Mycoplasma pneumonia, Streptococcus pneumoniae pneumonia and infiltrative pulmonary tuberculosis were retrospectively analyzed. Discussed. Results Pulmonary complications accounted for 21.6% (50 cases / 232 cases) of tsutsugamushi disease in the same period. Clinical misdiagnosis of other lung diseases accounted for 42%. Chest radiography basically exudative lesions, manifested as bilateral lung infiltration in 36 cases (72%), unilateral lung infiltration of 14 cases (28%), of which 16 cases associated with pleural disease. All cases were cured by chloramphenicol treatment. Conclusions Pulmonary complications are common complication of scrub typhus, and prognosis is good if it can be diagnosed and treated promptly