中国社区医师
中國社區醫師
중국사구의사
Chinese Community Doctors
2014年
18期
90-90,92
,共2页
布氏杆菌病%疾病特征%回顾性分析
佈氏桿菌病%疾病特徵%迴顧性分析
포씨간균병%질병특정%회고성분석
Brucellosis%Disease feature%Retrospective analysis
目的：分析探讨新疆伊犁地区布氏杆菌病临床特点。方法：2011年1月-2013年9月收治布氏杆菌病患者67例，回顾性分析其一般情况、临床特征及诊疗转归情况。结果：新疆伊犁地区的布氏杆菌病有较为明显的职业特点，多发生于春、夏、秋季，传播途径复杂，临床表现不典型，易导致误诊，利福平联合多西环素治疗有效。结论：掌握布氏杆菌病临床特点及流行病学特征，在接诊以“不明原因发热、腰腿痛”为主诉的患者时，应考虑该疾病的可能，避免漏诊、误诊。
目的：分析探討新疆伊犛地區佈氏桿菌病臨床特點。方法：2011年1月-2013年9月收治佈氏桿菌病患者67例，迴顧性分析其一般情況、臨床特徵及診療轉歸情況。結果：新疆伊犛地區的佈氏桿菌病有較為明顯的職業特點，多髮生于春、夏、鞦季，傳播途徑複雜，臨床錶現不典型，易導緻誤診，利福平聯閤多西環素治療有效。結論：掌握佈氏桿菌病臨床特點及流行病學特徵，在接診以“不明原因髮熱、腰腿痛”為主訴的患者時，應攷慮該疾病的可能，避免漏診、誤診。
목적：분석탐토신강이리지구포씨간균병림상특점。방법：2011년1월-2013년9월수치포씨간균병환자67례，회고성분석기일반정황、림상특정급진료전귀정황。결과：신강이리지구적포씨간균병유교위명현적직업특점，다발생우춘、하、추계，전파도경복잡，림상표현불전형，역도치오진，리복평연합다서배소치료유효。결론：장악포씨간균병림상특점급류행병학특정，재접진이“불명원인발열、요퇴통”위주소적환자시，응고필해질병적가능，피면루진、오진。
Objective:To analyze and explore the clinical characteristics of brucellosis in Xinjiang Yili area.Methods:67 cases with brucellosis were selected from January 2011 to September 2013.The general condition,clinical features and treatment outcome were retrospectively analyzed.Results:Brucellosis in Xinjiang Yili area had more obvious professional features.It mainly occurred in the spring,summer and autumn.Its dissemination way is complex.Its clinical manifestation is not typical.It is easy to misdiagnosis.Rifampicin combined with doxycycline treatment is effective.Conclusion:We should master the clinical features and epidemiological characteristics of brucellosis.If the patients have the principle action of "unexplained fever and lumbocrural pain",it should be considered this disease to avoid missed diagnosis and misdiagnosis.
