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目的探讨低白蛋白血症在恙虫病中的发生率及其可能原因和临床意义方法回顾分析52例恙虫病病人的病历资料，对住院前发热天数、尿蛋白、肝功能等与血浆白蛋白水平进行统计学处理结果恙虫病合并低白蛋白血症发生率高达78．8％，合并肝损害发生率62．7％；住院前发热10d以上、年龄大于40岁、血清谷草转氨酶>40U／L者，血浆白蛋白均较其对照组明显减低结论低白蛋白血症对恙虫病的诊断、治疗有重要临床意义，临床应加强恙虫病的营养与支持治疗。
Objective To investigate the incidence of hypoalbuminemia in tsutsugamushi disease and its possible causes and clinical significance.Methods 52 cases of tsutsugamushi disease were analyzed retrospectively.The data of fever days, urinary protein, liver function, Statistical analysis showed that the incidence of scrub typhus combined with hypoalbuminemia was as high as 78.8% and the incidence of hepatic injury was 62.7%. Pre-hospital fever more than 10 days, age> 40 years and serum aspartate aminotransferase> 40U / L , Plasma albumin were significantly lower than the control group Conclusion Low albumin hyperlipidemia diagnosis and treatment of scrub typhus has an important clinical significance, clinical should strengthen the scrub typhus nutrition and supportive treatment.