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目的:探讨恙虫病合并肝损害的临床特点。方法:收集普洱市人民医院感染科2002-05/2007-12收治78例恙虫病并发肝损害进行临床分析,观察肝功能、肝脏、脾脏B超。结果:全部病例均有发热、焦痂、溃疡,56例(71%)淋巴结肿大,易合并肝损害,轻、中、重度损害分别占42例(54%),23例(30%),13例(16%),经病原治疗及保肝治疗后均痊愈。结论:恙虫病并发肝损害,为一过性病变,病变轻,预后好。
Objective: To investigate the clinical features of scrub typhus with liver damage. Methods: A total of 78 cases of scrub typhus complicated with liver damage were collected from May 2002 to December 2007 in Department of Infectious Diseases of Pu’er People ’s Hospital. The liver function, liver and spleen were observed. Results: In all cases, fever, eschar and ulcer occurred in 56 cases (71%) with enlarged swollen lymph nodes. The mild, moderate and severe injuries accounted for 42 (54%), 23 (30%), Thirteen patients (16%) recovered after the pathogen treatment and liver protection. Conclusion: Tsutsugamushi disease complicated by liver damage is a transient lesion with mild disease and good prognosis.