摘 要：目的：探讨恙虫病肺部合并症的临床特点。方法：对32例存在肺部合并症的恙虫病患者，通过症状和体征、X线胸片、胸部B超、血气分析、误诊情况等进行回顾性分析。结果：肺部合并症占同期恙虫病患者的39.02%(32/82)，临床误诊为其他肺疾患占37.5%(12/32)。临床症状大多较轻，咳嗽咳痰22例(68.75%)，有肺部罗音17例(53.12%)。X线胸片：肺部炎性渗出性病变占65.62% (21/32)，肺间质炎性改变占34.38% (11/32)，有胸膜病变12例(37.5%)，B超胸腔积液10例(31.25%)。 结论：恙虫病肺部合并症临床表现多样化，误诊率高，应引起重视。

    关键词：恙虫病；肺部合并症； 分析

    A Clinical Analysis of Pulmonary Complications

    Associated with Tsutsugamushi Disease

    GU Qi-you

    (Nanxiong People’s Hospital, Guangdong Nanxiong 512400, China)

    Abstract： Objective： To reserch the clinical feature of pulmonary complications associated with tsutsugamushi disease. Method： Thirty-two patients who had pulmonary complications associated with tsutsugamushi disease were retrospectively analyzed by signs and symptoms,chest radiographs,chest B-ultrasound ,blood gas analysis and condition of misdiagnosis. Result： pulmonary complications were present in 39.02% (32/82) of the patients with tsutsugamushi disease.Of them 37.5% (12/32) were initially misdiagnosed as other pulmonary disease. The most clinical symptoms were mild,22 cases (68.75%) had cough and sputum,17 cases (53.12%) had rales. Chest X-rays:65.62% (21/32) showed pulmonary inflammatory effusion lesion ,34.38% (11/32) pulmonary interstitial inflammatory lesion and 12 cases pleural lesion ......