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944例钩端螺旋体病的流行病学及临床表现
引用本文:杨文映,毛宗校,杨向东,宠敬文,鲍兆馥,李学英,沙沙.944例钩端螺旋体病的流行病学及临床表现[J].大理医学院学报,1995(2).
作者姓名:杨文映  毛宗校  杨向东  宠敬文  鲍兆馥  李学英  沙沙
作者单位:云南省流行病防治研究所,孟连县人民医院,耿马县孟定镇医院,盈江县太平乡卫生院
摘    要:报道1976年-1992年经实验室确诊的944例钩端螺旋体病的流行病学及临床表现综合分析资料。案例来自11个地州市。农民占70.7%,10~34岁占72.6%;7-10月占91.3%;稻田、江河及沟塘型占81.6%。早期典型病例数仅占16.4%;流感伤寒及胃肠型为轻症型占88.3%,黄疸、肺出血、肾及脑膜脑炎型为重症型占11.7%;重症型由强毒菌群引发者占12.4%(22/177),由弱毒菌群引发者占3.8%(10/285),两者间差异非常显著(X ̄2=10.59,P<0,005),并因地而异;其临床表现多样性,与流行菌型复杂及毒力差别因素有关。钩端螺旋体病多被误诊为其它热性传染病。

关 键 词:钩端螺旋体病,流行病学,临床表现

Epidemiology and Clinical Manifestation of Leptospirosis Patients
Yang Wenying et al.Epidemiology and Clinical Manifestation of Leptospirosis Patients[J].Journal of Dali Medical College,1995(2).
Authors:Yang Wenying
Institution:Yang Wenying et al
Abstract:Epidemiological and clinical manifestation data obtained from 94 4 cases of leptospirosis patients diagnosed by laboratorial method are reported. The rates of severe cases caused by intense virulent leptospira and by the weak virulent ones were 12.4%(22/177) and 3.8%(10/285),respectively,the difference between them being significant(x2 =10.59,P<0.005).The authors have the impression that leptospirosis is usually misdiagnosed as other feverish infectious diseases and hold that the variety of its clinical manifestation is related to the strains of leptospira and the variation of their toxicity.
Keywords:leptospirosis  epidemiology  clinical syndrome
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