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恙虫病并发肺损害36例临床分析
引用本文:谭伟东,廖策云,张国城,陈思仍. 恙虫病并发肺损害36例临床分析[J]. 右江医学, 2003, 31(6): 531-532
作者姓名:谭伟东  廖策云  张国城  陈思仍
作者单位:1. 广东省珠海市斗门区中心卫生院,广东,珠海,519110
2. 广东省珠海市斗门区人民医院,广东,珠海,519110
摘    要:目的 总结恙虫病并发肺损害的临床特点。方法 对 1995年 7月至 2 0 0 2年 12月收治的恙虫病并发肺损害 3 6例患者资料进行回顾性分析。结果 所有病例均有高热 ,其中伴咳嗽 2 3例 ( 63 .9% ) ,伴咳痰 13例 ( 3 6.1% ) ,重症者伴气促、紫绀 ,肺部罗音 19例 ( 5 2 .8% ) ;胸部X线表现为两肺纹理增粗、模糊 2 2例 ( 61.1% ) ,支气管肺炎 10例 ( 2 7.8% ) ,2 5例 ( 69.4% )入院前被误诊。结论 恙虫病并发肺损害病例易误诊 ,延误治疗可致死亡

关 键 词:恙虫病  肺损害
文章编号:1003-1383(2003)06-0531-02
修稿时间:2003-09-04

Clinical analysis of 36 cases of scrub typhus with complication of pulmonary damage
TAN Wei-dong,LIAO-Ceyun,ZHANG Guo-cheng,et al. Clinical analysis of 36 cases of scrub typhus with complication of pulmonary damage[J]. Youjiang Medical Journal, 2003, 31(6): 531-532
Authors:TAN Wei-dong  LIAO-Ceyun  ZHANG Guo-cheng  et al
Abstract:Objective To study the clinical characteristics of scrub typhus with complication of pulmonary damage.Methods Clinical data of 36 patients from July 1995 to december 2002 were analyzed retrospectively.Results All the cases showed high fever,in which 23 cases(63.9%) had cough,13 cases(36.1%) had sputum,19 severe cases(52.8%) accompanied hyspnea and cyanosis had rales;Chest X-ray:22 cases (61.1%) showed blur and increase of lung markings,10 cases (27.8%) showed bronchopneumonia lesion,25 cases (69.4%) were misdiagnosed before hospitalization.Conclusion Scrub typhus with complication of pulmonary damage may be misdiagnosed easily,delay treatment may cause death.
Keywords:Scrub typhus  Pulmonary damage
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