小儿恙虫病104例临床分析

目的加强对小儿恙虫病临床特点的认识,提高诊断及治疗水平。方法回顾分析本院1995年-2010年104例小儿恙虫病的临床特点及治疗预后,总结经验,减少误诊。结果 104例患儿均有高热,103例均发现焦痂或溃疡,52例淋巴结肿大,13例见皮疹,肝大17例,脾大6例。外斐氏试验阳性68例。误诊24例。氯霉素、四环素治疗有效。结论小儿恙虫病的临床表现形式多样,以发热、焦痂或溃疡、淋巴结肿大为特征,焦痂或溃疡是其最特异的表现,仔细体格检查,能减少误诊。氯霉素和四环素治疗效果佳,是治疗恙虫病的经典药物。

Clinical analysis of tsutsugamushi disease in 104 children

Objective To strengthen the tsutsugamushi disease of child insects clinical characteristics of and improve the diagnosis and treatment levels.Methods In analyzing its 1995 to 2010 104 example,pediatric tsutsugamushi disease a clinical characteristic and cure the prognosis,summing up experience,the reduction of misdiagnosis and mistreatment.Results 104 example is fever,103 of the cases are found the eschar or sores,52 cases Lymph nodes Swelled,13 of the cases are found Rash,17 cases of hepatomegaly,6 cases o...