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目的 探讨小儿恙虫病的临床特点、治疗和预后情况。方法回顾性总结了1990年1月-2003年1月我院儿科收治的310例小儿恙虫病。用氯霉素50mg/(kg·d)联合氨苄青霉素100mg/(kg·d)静滴治疗。结果 恙虫病是一种以全身性小血管为病变基础的多系统损害疾病。临床表现多样。可侵犯皮肤、肺、肝、肾、血液系统、中枢神经系统而出现相应的症状及体征。氯霉素联合氨苄青霉素治疗7-10d临床症状、体征基本消失。结论 早期诊断、早期治疗可完全治愈,预后良好。早期外裴反应阳性率低,无特异性焦痂和溃疡的病例是造成误诊、漏诊的主要原因。
Objective To investigate the clinical features, treatment and prognosis of scrub typhus in children. Methods A retrospective review of 310 cases of pediatric scrub typhus admitted to our hospital from January 1990 to January 2003 was performed. Chloramphenicol 50mg / (kg · d) combined ampicillin 100mg / (kg · d) intravenous treatment. Results tsutsugamushi disease is a multi-system damage based on systemic small vessel lesions. Various clinical manifestations. Can be violations of the skin, lungs, liver, kidney, blood system, central nervous system and the corresponding symptoms and signs. Chloramphenicol combined with ampicillin treatment of 7-10d clinical symptoms, signs disappeared. Conclusion Early diagnosis, early treatment can be completely cured, the prognosis is good. Early cases of low external eruption response, non-specific eschar and ulcer cases are misdiagnosed, missed the main reason.