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目的:总结诊疗恙虫病的体会,减少漏诊及误诊率。方法:采用回顾性分析方法对2010年11月—2011年12月在该科15例住院患者病历资料进行分析。结果:所有患者均有不同程度的发热,可出现肝、肺、肾等器官损害。有典型结痂或特异性溃疡14例,多西环素治疗效果良好。结论:恙虫病临床表现多样,详细的病史采集及仔细的体格检查在减少漏诊及误诊方面很重要。治疗首选多西环素及阿奇霉素。
OBJECTIVE: To summarize the experience of diagnosis and treatment of scrub typhus, reduce the missed diagnosis and misdiagnosis rate. Methods: A retrospective analysis of 15 cases of inpatients from November 2010 to December 2011 were analyzed. Results: All patients had different degrees of fever, liver, lung, kidney and other organ damage may occur. A typical scab or specific ulcer in 14 cases, doxycycline treatment effect is good. Conclusion: The clinical manifestations of scrub typhus are diverse. Detailed medical history collection and careful physical examination are important in reducing missed diagnosis and misdiagnosis. Preferred treatment of doxycycline and azithromycin.