摘要
目的 加深对恙虫病所致肺损害的认识。方法 通过X线胸片、胸部B超、血气分析等对 1993年～ 1998年我院 31例恙虫病致肺损害病例进行回顾性分析。结果 肺损害占同期恙虫患者的 44 % (31/ 70 ) ,咳嗽占 6 6 % (2 0 / 31) ,咳痰占 5 3% (16 / 31) ,肺部音占 5 3% (16 / 31)。X线胸片 :双肺间质炎症改变占 45 % (14/ 31) ,肺炎改变占 5 3% (16 / 31) ,其中 8例有胸膜病变。B超胸腔积液占2 6 % (8/ 31)。Ⅰ型呼衰 5例。所有病例经氯霉素和 (或 )多西环素治疗均痊愈。结论 恙虫病所致肺损害较常见 ,应引起重视 ,以免误诊。
Objective To deepen the understanding of pulmonary damage caused by scrub typhus. Methods 31 cases of pulmonary damage caused by scrub typhus from 1993 to 1998 were reviewed with chest radiographs, chest B ultrasound, etc Results 44% cases with scrub typhus showed a pulmonary damage (31/70), in which 66% (20/31) had cough, 53% (16/31) had sputum, 53%(16/31)had rales and the most symptoms were mild Chest X rays: 45% (14/31) showed pulmonary interstitial lesion , 53%(16/31) pulmonary effusion lesion and 8 cases pleural leision 26% (8/31) of pleural effusion was confirmed by chest B ultrasound Respiratory failure was found in 5 cases All cases were treated with chloramphenicol and(or) doxycyclinum and made a good recovery Conclusion The pulmonary damage caused by scrub typhus should be paid more attention to for avoiding misdignosis
出处
《中华结核和呼吸杂志》
CAS
CSCD
北大核心
2000年第2期98-100,共3页
Chinese Journal of Tuberculosis and Respiratory Diseases
