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本文就钩端螺旋体病112例的临床表现、分型、实验室检查、治疗等进行了临床分析。在乡镇级医院中,因检验条件有限,不能做血清学检查和病原体检查,因此,早期诊断应以流行病学、典型的临床表现为主。如在本地区七——九月份雨后出现成批的寒热头痛全身乏力,眼红腿疼、淋巴结肿大,周围血象白细胞总数和中性粒细胞增高,尿检蛋白阳性,血沉增快,青霉素治疗效果好者,可初步诊断为钩端螺旋体病。治疗轻型病人青霉素或四环素有特效,重型可加用激素。
In this paper, 112 cases of leptospirosis clinical manifestations, classification, laboratory tests, treatment and other clinical analysis. In township hospitals, due to limited testing conditions, serological tests and pathogen examination can not be done, therefore, early diagnosis should be based on epidemiology, typical clinical manifestations. As in the region after the July-September rain appeared batches of cold and heat headache generalized weakness, red-legged pain, lymph nodes, peripheral blood leukocytes and neutrophils, urine protein positive, erythrocyte sedimentation rate, penicillin treatment effect Good, can be initially diagnosed as leptospirosis. Penicillin or tetracycline treatment of light patients with special effects, heavy plus hormones can be added.