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目的探讨猫抓病的临床特点、诊断与治疗方法。方法对有猫抓伤患者的肿大淋巴结作病检 ,行Warthin Starry银染色和穿刺物细菌培养、抗酸染色。将确诊的 35例猫抓病分成两组 ,A组 (1 4例 )给予多西环素、阿奇霉素、环丙沙星或利福平等敏感药物治疗 1 4周 ,B组 (2 1例 )确诊后不用或停用抗生素 ,比较两组治疗效果。结果两组痊愈时间相似 ,35例均获随访 ,随访时间 3个月 5年 ,全部病例临床痊愈 ,无复发。结论免疫良好的猫抓病是自限性的 ,给予抗生素治疗不缩短病程
Objective To investigate the clinical features, diagnosis and treatment of cat scratching disease. Methods The swollen lymph nodes in patients with cat scratching were tested for disease by Warthin Starry silver staining and puncture bacterial culture and acid-fast staining. The 35 cases of cat scratch disease were divided into two groups, group A (14 cases) given doxycycline, azithromycin, ciprofloxacin or rifampicin and other sensitive drugs for 14 weeks, group B (21 cases) were diagnosed After no or discontinuation of antibiotics, the treatment effect was compared between the two groups. Results The recovery time was similar between the two groups. All 35 patients were followed up for 3 months and 5 years. All cases were cured and no recurrence was found. Conclusions Immunized cat scratch disease is self-limiting, antibiotic treatment does not shorten the course of the disease