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[目的 ]研究平潭小儿恙虫病近年来临床特点。 [方法 ]对 1982 - 1999年 42 9例小儿恙虫病资料进行回顾性分析。 [结果 ]平潭地区小儿恙虫病发病季节高峰后移 ,≤ 6月龄婴儿病例逐年增多 ,皮疹焦痂减少 ,不典型病例增多 ,白细胞数减低 ,耐药菌株增多 ,病程延长。 [结论 ]平潭小儿恙虫病临床有新的变化 ,对发热的患儿 ,要想到恙虫病的可能 ,应作外裴氏反应。
[Objective] To study the clinical features of scrub typhus in Pingtan in recent years. [Methods] The data of 42 cases of pediatric scrub typhus from 1982 to 1999 were retrospectively analyzed. [Results] The incidence of pediatric tsutsugamushi in Pingtan peaked seasonally. The number of infants less than 6 months of age increased year by year, the eschar reduced, the number of atypical cases increased, the number of white blood cells decreased, the number of resistant strains increased and the duration of disease extended. [Conclusion] There are new clinical changes in pediatric tsutsugamushi disease in Pingtan. For children with fever, we should make the external PEI reaction if we think of the possibility of scrub typhus.