关键词: 恙虫病, 临床特点, 现场观察

Abstract: Objective:To understand clinical characteristic of tsutsugamushi disease occurred in Hebei province.Methods:General check-up for all the cases were carried out in scene of the epidemic focus.All the patients were diagnosed by serological method tested to be positive of IgM antibody to tsutsugamushi disease.Result:Average temperature of the patients was 39.7℃,and fever-duration wes9.0days.Among 38 patients,30 cases(78.95%)with eschar,22 cases(57.89%) with rash and 34 cases(89.47%)with lymph node enlargement were found.29(96.67%) of30cases with eschar were one eschar per case.The eschars were mainly distributed on waist,groin,inside of thigh and so on.Rash appeared 1 st to 8th day after attack,and duration wes 2-8days(average4.5days).Most of systems of the body were implicated,and 4cases(10.5%)were complicated by pneumonia,encephalopathy,encephaledema,heart failure and toxic shock.Conclusion:Clinical symptoms and manifestations of the most cases were typical.But a part of cases need diagnosis with serological methods.