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目的对恙虫病感染进行分析,进一步了解恙虫病的流行特征及临床特点,为临床诊断及治疗提供依据,提高诊治水平。方法对34例恙虫病性脑膜炎患者的临床症状、体征、实验室检查及流行病学进行回顾性分析。结果恙虫病的临床表现复杂多样,常致多器官功能损害。结论提高对本病的认识,要注意流行病学史调查及详细体检,对有流行病学依据的高热、头痛及意识障碍的病例应怀疑此病,及时诊治,减少误诊发生。
Objective To analyze the epidemic of tsutsugamushi disease and further understand the epidemiological features and clinical features of tsutsugamushi disease, provide the basis for clinical diagnosis and treatment, and improve the diagnosis and treatment level. Methods The clinical symptoms, signs, laboratory tests and epidemiology of 34 patients with scrub typhus meningitidis were analyzed retrospectively. Results The clinical manifestations of scrub typhus complicated and diverse, often caused by multiple organ damage. Conclusion To improve the understanding of this disease, we should pay attention to epidemiological history investigation and detailed physical examination. Patients with epidemic-based high fever, headache and disturbance of consciousness should be suspected of the disease, timely diagnosis and treatment to reduce the misdiagnosis.