王丽娟, 陈志林, 冯开军, 林孔翊. 儿童钩体病后发脑动脉炎流行病学调查分析[J]. 疾病监测, 1999, 14(7): 247-250. DOI: 10.3784/j.issn.1003-9961.1999.7.247
引用本文: 王丽娟, 陈志林, 冯开军, 林孔翊. 儿童钩体病后发脑动脉炎流行病学调查分析[J]. 疾病监测, 1999, 14(7): 247-250. DOI: 10.3784/j.issn.1003-9961.1999.7.247
Wang Lijuan. et al, . Epidemiological Analysis of Children'sEncephalic Arteritis Complicated by Leptospirosis[J]. Disease Surveillance, 1999, 14(7): 247-250. DOI: 10.3784/j.issn.1003-9961.1999.7.247
Citation: Wang Lijuan. et al, . Epidemiological Analysis of Children'sEncephalic Arteritis Complicated by Leptospirosis[J]. Disease Surveillance, 1999, 14(7): 247-250. DOI: 10.3784/j.issn.1003-9961.1999.7.247

儿童钩体病后发脑动脉炎流行病学调查分析

Epidemiological Analysis of Children'sEncephalic Arteritis Complicated by Leptospirosis

  • 摘要: 本文对155例12岁以下儿童钩端螺旋体病后发脑动脉炎病例进行调查分析,结果显示患儿临床出现偏瘫、失语等症状并以7~9岁年龄组患儿最多,发病时间以每年11月至次年3月较多见,占73.54%(114/155)。血清学试验(显凝试验)证实为钩体感染,共有黄疸出血、爪哇、犬、拜伦、秋季、澳洲、波摩那和七日热8个血清群的钩体可引起本病的发生,其中以波摩那群为多见,占76.13%(118/155)。单纯用扩张血管药物治疗效果不好。经确诊后,用足量的青霉素治疗效果较好,患儿可基本痊愈。

     

    Abstract: cases of children's encephalic arteritis complicated by leptospirosis were analyzed. The cases of leptospirosis occurred blow 12 years old, with a peak in the age group of 7-9 accounting for 43.9% of the total. A concentration of cases 73.5% occurred from November to next March. The serological investigation demonstrated that the children were infected by 8 serogroups of leptospirae and most of them belong to Pomona serogroup. The treatment effect of blood vessel dilatation drugs were not obvious and the treatment effect of enough penicillin were very good.The study pointed out that the cases of children's enphalic arteritis in the endemic areas of leptospirosis should consider the probability of being complicated by leptospirosis for the early diagnosis and treatment.

     

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