CAJ | 학술논문

目的：分析本院收治的96例布鲁菌病患者的临床特点及就诊、确诊经历，总结布鲁菌病早诊断、早治疗的经验，提高医疗资源的利用效率。方法收集济南市传染病医院2012年1月至2013年9月确诊的96例布鲁菌病住院患者，采用调查问卷及出院后门诊随访的方法，获得包括患者的流行病学、就诊经过、临床表现及实验室检查等临床资料。应用SPSS 16.0软件进行描述性统计分析。结果布鲁菌病临床表现多样化，不规则长期发热、多汗和关节痛仍为首发主导症状。羊及其制品为主要传染源（88/96，91.67%）。在本院确诊前，入组患者中94.79%（91/96）就诊于1家以上3级医院。结论布鲁菌病临床表现无特异性，且易误诊，临床医师应加强对本病的认识，提高早期诊断的成功率，合理、高效地利用医疗资源。
목적：분석본원수치적96례포로균병환자적림상특점급취진、학진경력，총결포로균병조진단、조치료적경험，제고의료자원적이용효솔。방법수집제남시전염병의원2012년1월지2013년9월학진적96례포로균병주원환자，채용조사문권급출원후문진수방적방법，획득포괄환자적류행병학、취진경과、림상표현급실험실검사등림상자료。응용SPSS 16.0연건진행묘술성통계분석。결과포로균병림상표현다양화，불규칙장기발열、다한화관절통잉위수발주도증상。양급기제품위주요전염원（88/96，91.67%）。재본원학진전，입조환자중94.79%（91/96）취진우1가이상3급의원。결론포로균병림상표현무특이성，차역오진，림상의사응가강대본병적인식，제고조기진단적성공솔，합리、고효지이용의료자원。
Objective To review the clinical features and treatment process of 96 cases with brucellosis, and to promote early diagnosis and treatment of the disease. Methods The clinical data of 96 patients with brucellosis who were admitted from January 2012 to September 2013 in Jinan Infectious Diseases Hospital were collected through a questionnaire and outpatient follow up. The data were analyzed by SPSS 16.0 software. Results The clinical manifestations of brucellosis include prolonged fever, excessive perspiration and joint pain. Goats, sheep and the products were the common source of infection (88/96, 91.67%). Total of 94.79%(91/96) of the enrolled patients visited at least one tertiary hospital before the ifnal diagnosis were made in our hospital. Conclusions Brucellosis is easy to be misdiagnosed because it’s symptoms resemble many other illnesses. It is necessary to raise awareness in doctors so as to facilitate early diagnosis of the disease and make reasonable and effective use of medical resources.