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目的分析儿童恙虫病的临床特征和治疗效果。方法对2002～2007年22例儿童恙虫病进行回顾性分析。结果22例均有高热,起病急骤,发现焦痂2例,周身淋巴结肿大3例,肝脾肿大1例。外斐氏试验(OXk)均阳性(1:160),血白细胞正常19例,合并肺炎2例,急性胃肠炎1例,高热惊厥1例。用阿奇霉素治疗12例,氯毒素治疗8例,均获治愈。结论儿童恙虫病临床表现不典型,易误诊、漏诊,以阿奇霉素和氯霉素治疗有效。
Objective To analyze the clinical features and therapeutic effects of scrub typhus in children. Methods 22 cases of tsutsugamushi disease in children from 2002 to 2007 were analyzed retrospectively. Results All the 22 cases had fever, rapid onset, found eschar 2 cases, 3 cases of lymphadenopathy, hepatosplenomegaly in 1 case. Oxi’s external test (OXk) were positive (1: 160), normal white blood cells in 19 cases, 2 cases of pneumonia, acute gastroenteritis in 1 case, febrile seizures in 1 case. 12 cases were treated with azithromycin and 8 cases were treated with chlorotoxin, all of which were cured. Conclusion The clinical manifestations of scrub typhus in children is not typical, easily misdiagnosed, missed diagnosis, effective treatment with azithromycin and chloramphenicol.