论文部分内容阅读
目的探讨小儿恙虫病临床特征并对本病的治疗效果进行分析。方法对海南省人民医院2008年1月至2010年12月收住的35例恙虫病的临床资料进行回顾性分析。结果 35例患儿均有发热,均发现有焦痂或溃疡;外周血象<4.0×109/L以下者9例,血红蛋白<90g/L者26例,血小板<100×109/L者23例;变形杆菌OXK凝集效价阳性率54.29%;肝功能损伤33例;心肌损伤11例;并发脑炎7例。治疗效果:痊愈31例,好转3例,死亡1例。结论恙虫病可累及肝、肺、心脏、血液、神经等器官、系统,外斐反应阳性率不高,作为诊断或排除本病的可靠性有限。结合流行病学史及焦痂或特异性溃疡是确诊恙虫病的最重要依据。
Objective To investigate the clinical features of pediatric scrub typhus and analyze the therapeutic effect of this disease. Methods The clinical data of 35 cases of tsutsugamushi in Hainan Provincial People’s Hospital from January 2008 to December 2010 were retrospectively analyzed. Results All the 35 children had fever and both were found to have eschar or ulceration. Nine patients had peripheral blood <4.0 × 109 / L, 26 had hemoglobin <90g / L and 23 had platelet count <100 × 109 / L. Proteomics OXK agglutination positive rate of 54.29%; liver function in 33 cases; myocardial injury in 11 cases; concurrent encephalitis in 7 cases. Treatment effect: cured 31 cases, improved in 3 cases, 1 case of death. Conclusion Tsutsugamushi disease can affect the liver, lung, heart, blood, nerves and other organs, the system, outside the Fiji reaction positive rate, as the reliability of the diagnosis or rule out the disease is limited. Combined with epidemiological history and eschar or specific ulcer is the most important basis for the diagnosis of tsutsugamushi disease.