CAJ | 학술논문

目的：通过对38 例恙虫病人的观察,了解河北省恙虫病的临床特点。方法：采用现场观察方法，对病人进行逐例体检并记录，所有病例均经过实验诊断。结果：患者发热平均为 39.7℃，热程平均9.0d。焦痂和皮疹发生率分别为78.95%和57.89%,淋巴结肿大率为89.47%。多数有焦痂病例的焦痂数为每例1个，分布以腰部最多，其次为腹股沟和大腿内侧。皮疹发生于病后1～8d，平均5.2d;皮疹持续2～8d，平均4.5d。病例具有多系统损害，10.5%的病例有合并症发生,如肺炎、脑病、脑水肿、心力衰竭和中毒性休克等。结论：病例临床症状典型，但部分患者还要靠实验诊断确诊。
목적：통과대38 례양충병인적관찰,료해하북성양충병적림상특점。방법：채용현장 관찰방법，대병인진행축례체검병기록，소유병례균경과실험진단。결과：환자발열평균위 39.7℃，열정평균9.0d。초가화피진발생솔분별위78.95%화57.89%,림파 결종대솔위89.47%。다수유초가병례적초가수위매례1개，분포이요부최다，기차위복 고구화대퇴내측。피진발생우병후1～8d，평균5.2d;피진지속2～8d，평균4.5d。 병례구유다계통손해，10.5%적병례유합병증발생,여폐염、뇌병、뇌수종、심력쇠갈화 중독성휴극등。결론：병례림상증상전형，단부분환자환요고실험진단학진。
Objective: To understand clinical characteri stic of tsutsugamushi disease occurred in Hebei province. Methods:General check-up for all the cases were carried out in scene of the epidemic focus.All the patients were diagnosed by s erological method tested to be positive of IgM antibody to tsutsugamushi disease .Result:Average temperature of the patients was 39.7℃ ,and fever-duration w es 9.0 days.Among 38 patients,30 cases (78.95%)with eschar,22 cases (5 7.89%) with rash and 34 cases (89.47%) with lymph node enlargement were fo und. 29(96.67%) of 30 cases with eschar were one eschar per case.The eschars were mainly distributed on waist,groin,inside of thigh and so on.Rash appeared 1 st to 8th day after attack,and duration wes 2-8 days(average 4.5 days). M ost of systems of the body were implicated,and 4 cases (10.5%) were complica ted by pneumonia,encephalopathy,encephaledema,heart failure and toxic shock. Conclusion:Clinical symptoms and manifestations of the mos t cases were typical.But a part of cases need diagnosis with serological methods.