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钩端螺旋体凝集溶解试验虽然对钩端螺旋体病的鉴别诊断起重要作用,但其结果仅在病程后期才有意义。为解决钩端螺旋体病的早期诊断问题,作者采用中性粒细胞损伤指数试验的方法,并获得了成功。研究对象是35例经临床表现、血尿常规、血液生化检查、心电图描记、脑脊液检验证实为钩端螺旋体病的患者。其中重型14例,中等型16例,轻型5例;肝肾型17例,感染中毒型13例,神经脑膜炎型5例;并发症有感染中毒性休克6例,急性肾功能衰竭2例,急性肝功能衰竭4例,急性肝肾功能衰竭3例,弥漫性血管内凝血2例,浆液性
Leptospira coagulation and lysis test although the differential diagnosis of leptospirosis plays an important role, but the results only meaningful in the later stages of the disease. To address the early diagnosis of leptospirosis, the authors used a neutrophil injury index test and achieved success. The subjects were 35 patients confirmed by clinical manifestations, hematuria, blood biochemical tests, electrocardiogram, and cerebrospinal fluid tests for leptospirosis. Among them, 14 were severe, 16 were moderate, 5 were light, 17 were liver and kidney, 13 were poisoned and 5 were meningitis. Complications included 6 cases of toxic shock, 2 cases of acute renal failure, 4 cases of acute liver failure, 3 cases of acute liver and renal failure, 2 cases of diffuse intravascular coagulation, serous