CAJ | 학술논문

回顾性分析21例妊娠合并恙虫病患者临床资料.21例患者均发热,淋巴结肿大13例,充血性斑丘疹12例,皮肤焦痂、溃疡11例;变形杆菌OXk凝集试验阳性20例;17例给予土霉素治疗,余4例使用阿奇霉素治疗.21例孕妇全部治愈;7例于孕37周自然分娩,9例引产终止妊娠,3例自然流产,2例早产.妊娠合并恙虫病对孕妇和胎儿危害极大,建议孕妇一经确诊,早日对症用药,避免病情恶化,降低病死率.
회고성분석21례임신합병양충병환자림상자료.21례환자균발열,림파결종대13례,충혈성반구진12례,피부초가、궤양11례;변형간균OXk응집시험양성20례;17례급여토매소치료,여4례사용아기매소치료.21례잉부전부치유;7례우잉37주자연분면,9례인산종지임신,3례자연유산,2례조산.임신합병양충병대잉부화태인위해겁대,건의잉부일경학진,조일대증용약,피면병정악화,강저병사솔.
Clinical data of 21 pregnant women with scrub typhus were analyzed retrospectively.They all had fever,13 of them with lymph nodes enlargement,12 with skin rashes,11 with eschar or ulcer,and 20 positive with Weil-Felix reaction.Oxytetracycline was given in 17 of them and other four were treated by azithromycin,with all cured.Seven of them gave natural childbirth at the 37th week of gestation,nine were aborted inductively,three aborted spontaneously and two delivered premature births.Scrub typhus was harmful to both pregnant women and their fetuses,early diagnosis and treatment are necessary for patients with it for avoiding exacerbation and reducing fatality.