王均利, 王玉琴, 丁海兰, 王玉堂, 王绪东, 韦玉香, 刘登伍. 沂蒙山区秋冬季型恙虫病236例临床资料综合分析[J]. 疾病监测, 1995, 10(9): 282-286.
引用本文: 王均利, 王玉琴, 丁海兰, 王玉堂, 王绪东, 韦玉香, 刘登伍. 沂蒙山区秋冬季型恙虫病236例临床资料综合分析[J]. 疾病监测, 1995, 10(9): 282-286.
Wang Junli . Et al, . A Clinical Data Analysis on 2 3 6 Cases of Tsutsugamushi Disease of Autumn and Winter Types in Yimeng Mountain Area[J]. Disease Surveillance, 1995, 10(9): 282-286.
Citation: Wang Junli . Et al, . A Clinical Data Analysis on 2 3 6 Cases of Tsutsugamushi Disease of Autumn and Winter Types in Yimeng Mountain Area[J]. Disease Surveillance, 1995, 10(9): 282-286.

沂蒙山区秋冬季型恙虫病236例临床资料综合分析

A Clinical Data Analysis on 2 3 6 Cases of Tsutsugamushi Disease of Autumn and Winter Types in Yimeng Mountain Area

  • 摘要: 1986~1989年,每年秋冬季节,山东沂蒙山区有恙虫病发生,作者对236例恙虫病临床资料进行了分析。所有病例均发热38℃~41℃之间,皮疹199例(84.3%),淋巴结肿大204例(86.4%),出现溃疡或焦痂167例(70.8%)。发热、皮疹、淋巴结肿大、溃疡或焦痂四种主要症状同时出现者150例(63.6%)。半数病例白细胞增加,最高达19.8×109/L,最低2.78×109/L。14份病人血液做酶标检测均阳性,最高滴度IgG1:5120,IgM1:20480;12份病人血液做免疫荧光阳性11份;并从病人血液、黑线姬鼠,小盾纤恙螨分离出恙虫病立克次体,属Gilliam血清型。

     

    Abstract: The tsutsugamushi disease were discovered in Yimeng Mountain Area , Shandong Province every year in 1986 - 89. An analysis on the clinical data of 236 cases of the disease was reported. All of them had a fever of 38- 41 degree centigrade; Among them there were 199 cases of skin rash(84. 3%) ,204 cases of lymphadenectasis(86. 4% )and 167 cases of ulcerate or eschar(70. 8% ). 150 cas- es hadall the four symptoms(63.6%).About half of the cases have leucocytosis with thehighest of 19. 8×109/L and the lowest of 2.78×109/L.14patients'blood were positive with the highest titter of IgG 1:20480 in ELISA test,immunofluorescence test was made for 12 patients'blood.of which 11 were positive.Rickettsia tsutsugamushi was isolated from patient's blood,Apodemus agrarians and Lep-tofrombidium scutellare and it was typed of Gillian blood serum type.

     

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