CAJ | 학술논문

目的对小儿恙虫病的临床特点进行分析以加强认识,降低误诊率,减少并发症,提高诊治水平.方法回顾性分析22例小儿恙虫病的症状、体征、实验室检查等临床资料及治疗转归情况.结果 22例小儿恙虫病均以发热起病,高热(＞39℃)占72.7％(16/22),全部病例均有典型焦痂或溃疡,淋巴结肿大8例(36.4％,8/22).合并其他脏器损害14例(63.6％,14/22),贫血11例(50.0％,11/22),肝功能异常4例(18.2％,4/22).所有病例经阿奇霉素治疗后痊愈,无复发.结论小儿恙虫病的临床表现多样,并发症多,以血液系统、肝脏受累多见,仔细体检能降低误诊率.阿奇霉素治疗小儿恙虫病疗效肯定.
목적 대소인양충병적림상특점진행분석이가강인식,강저오진솔,감소병발증,제고진치수평.방법 회고성분석22례소인양충병적증상、체정、실험실검사등림상자료급치료전귀정황.결과 22례소인양충병균이발열기병,고열(＞39℃)점72.7％(16/22),전부병례균유전형초가혹궤양,림파결종대8례(36.4％,8/22).합병기타장기손해14례(63.6％,14/22),빈혈11례(50.0％,11/22),간공능이상4례(18.2％,4/22).소유병례경아기매소치료후전유,무복발.결론 소인양충병적림상표현다양,병발증다,이혈액계통、간장수루다견,자세체검능강저오진솔.아기매소치료소인양충병료효긍정.
Objective To analyze the clinical characteristics of children tsutsugamushi infection in order to strengthen understanding,reduce the misdiagnosis rate,reduce the complications and improve the level of diagnosis and treatment.Methods To analyze retrospectively the clinical data and treatment outcome of 22 cases of children tsutsugamushi disease,including symptoms,physical signs and laboratory examination.Results All the cases with fever onset,high fever (＞ 39 ℃) was 72.7％ (16/22),all cases were typical eschars and ulcers,while 8 cases (36.4％,8/22)had lymphadenectasis.Merger multiple organ damage in 14 cases (63.6％,14/22),anemia in 11 cases (50.0％,11/22)and liver function abnormal in 4 cases (18.2％,4/22).All of 22 cases were treated with azithromycin.All cases after treatment with azithromycin heal,no recurrence.Conclusions The manifestation of tsutsugamushi disease is diversity,much complications,among which hematology and liver are the most common cases.Physical examination roundly might reduce missed diagnosis and misdiagnosis as greatly as possible.Azithromycin has good therapeutic effects on children tsutsgamushi disease.