关键词：恙虫病；肺损害
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66%(20/31)，咳痰占53%(16/31),肺部音占53%(16/31)。X线胸片：双肺间质炎症改变占45%(14/31)，肺炎改变占53%(16/31)，其中8例有胸膜病变。B超胸腔积液占26%(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。
Aclinical analysis of 31 cases with pulmonary damage caused by scrub typhus
QU Yuejin.
(Department of Respiratory Diseases,Xiamen First Hospital, Xiamen 361003, China)
Abstract：Objective： Todeepen the understanding of pulmonary damage caused by scrub typhus. Methods： 31cases of pulmonary damage caused by scrub typhus from 1993 to 1998 were reviewed withchest radiographs, chest B-ultrasound, etc. Results： 44% cases withscrub 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 effusionlesion and 8 cases pleural leision. 26% (8/31) of pleural effusion was confirmed by chestB-ultrasound. Respiratory failure was found in 5 cases. All cases were treated withchloramphenicol and(or) doxycyclinum and made a good recovery. ConclusionL： Thepulmonary damage caused by scrub typhus should be paid more attention to for avoiding misdignosis.
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