恙虫病肺部合并症的临床分析

目的:探讨恙虫病肺部合并症的临床特点。方法:对32例存在肺部合并症的恙虫病患者,通过症状和体征、X线胸片、胸部B超、血气分析、误诊情况等进行回顾性分析。结果:肺部合并症占同期恙虫病患者的39.02%(32/82),临床误诊为其他肺疾患占37.5%(12/32)。临床症状大多较轻,咳嗽咳痰22例(68.75%),有肺部罗音17例(53.12%)。X线胸片:肺部炎性渗出性病变占65.62%(21/32),肺间质炎性改变占34.38%(11/32),有胸膜病变12例(37.5%),B超胸腔积液10例(31.25%)。结论:恙虫病肺部合并症临床表现多样化,误诊率高,应引起重视。

A Clinical Analysis of Pulmonary Complications Associated with Tsutsugamushi Disease

Objective: To reserch the clinical feature of pulmonary complications associated with tsutsugamushi disease.Method: Thirty-two patients who had pulmonary complications associated with tsutsugamushi disease were retrospectively analyzed by signs and symptoms,chest radiographs,chest B-ultrasound,blood gas analysis and condition of misdiagnosis.Result: pulmonary complications were present in 39.02%(32/82) of the patients with tsutsugamushi disease.Of them 37.5%(12/32) were initially misdiagnosed as other pulmonary disease.The most clinical symptoms were mild,22 cases(68.75%) had cough and sputum,17 cases(53.12%) had rales.Chest X-rays:65.62%(21/32) showed pulmonary inflammatory effusion lesion,34.38%(11/32) pulmonary interstitial inflammatory lesion and 12 cases pleural lesion,10 cases(31.25%) of pleural effusion was confirmed by chest B-ultrasound.Conclusion: The clinical manifestation of pulmonary complications associated with tsutsugamushi disease were multiplicity,misdiagnosis rate were high.we shoud paid more attention.