ISSN 1003-8280 CN 10-1522/R 中国疾病预防控制中心 主办
Chines Journal of Vector Biology and Control
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CHEN Su-liang*; LI Chun-ming; KONG Ling-yi; et al
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陈素良1;李春明2;孔令义3;师鉴1;周立强1;冀学永3;李占保3;徐吉和3
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.
摘要: 目的:通过对38例恙虫病人的观察,了解河北省恙虫病的临床特点。方法:采用现场观察方法,对病人进行逐例体检并记录,所有病例均经过实验诊断。结果:患者发热平均为39.7℃,热程平均9.0d。焦痂和皮疹发生率分别为78.95%和57.89%,淋巴结肿大率为89.47%。多数有焦痂病例的焦痂数为每例1个,分布以腰部最多,其次为腹股沟和大腿内侧。皮疹发生于病后1~8d,平均5.2d;皮疹持续2~8d,平均4.5d。病例具有多系统损害,10.5%的病例有合并症发生,如肺炎,脑病、脑水肿、心力衰竭和中毒性休克等。结论:病例临床症状典型,但部分患者还要靠实验诊断确诊。
关键词: 恙虫病, 临床特点, 现场观察
CHEN Su-liang*; LI Chun-ming; KONG Ling-yi; et al. Observationon Clinical Characteristics of Tsutsugamushi Disease in the Epidemic Focus,Hebei Province[J]. Chines Journal of Vector Biology and Control.
陈素良1;李春明2;孔令义3;师鉴1;周立强1;冀学永3;李占保3;徐吉和3. 河北恙虫病临床特点的现场观察[J]. 中国媒介生物学及控制杂志.
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