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我院1981～1989年收治钩端螺旋体病(下简称钩体病)肺出血型35例,分析报告如下。临床资料一、一般资料:35例全系8～9月份发病,均为参加秋收秋种的农民。男性26例,女性9例。年龄12～49岁,其中青壮年占84％。二、诊断依据:①有明确的流行病学史;②有典型的临床表现;③有钩体病肺出血的肺部X线表现。三、临床表现:发热34例,头痛35例,血痰30例,口鼻涌血5例,低血压9例,腹股沟淋巴结肿大34例,球结膜充血26例,排肠肌压痛35例。根据临床及肺部X线表现可分两型。 (一)肺出血普通型:共24例,除上述表现外,主要为咳痰带血或少量咯血(约5～10ml)。肺部听诊正常。分别在发病后第2日(13例)和第三日(11例)摄X线胸片检查,肺部X线为双肺纹理增多、增粗、模糊,并向外周仲延。经治疗后痊愈。并在与第一次摄片时间间隔分别为4日(2例)、
Our hospital from 1981 to 1989 admitted to leptospirosis (hereinafter referred to leptospirosis) pulmonary hemorrhage in 35 cases, the analysis report is as follows. Clinical data First, the general information: 35 cases of the entire system from August to September incidence, are participating in autumn harvest fall farmers. 26 males and 9 females. Aged 12 to 49 years, of which 84% of young adults. Second, the diagnosis is based on: ① a clear history of epidemiology; ② have a typical clinical manifestations; ③ leptospirosis lung bleeding pulmonary X-ray performance. Third, the clinical manifestations: fever in 34 cases, headache in 35 cases, 30 cases of bloody sputum, 5 cases of oral and nasal flow, hypotension in 9 cases, inguinal lymph nodes in 34 cases, conjunctival hyperemia in 26 cases, 35 cases of intestinal bleeding tenderness. According to clinical and pulmonary X-ray performance can be divided into two types. (A) common type of pulmonary hemorrhage: a total of 24 cases, in addition to the above performance, mainly for bloody sputum or a small amount of hemoptysis (about 5 ~ 10ml). Pulmonary auscultation normal. X-ray examination was performed on the second day (13 cases) and the third day (11 cases) after the onset of the disease. Lung X-ray showed double lung texture increase, thickening, blurring and peripheral extension. Healed after treatment. And in the first time interval with radiography were 4 (2 cases),