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1996年9月～1996年11月.我院共收治恙虫病158例,其中16例误诊为肾综合征出血热(HFRS)。16例中,8例有肾脏损害,7例有肝脏损害,5例同时合并肺脏损害,现报告如下。1临床资料1.1 一般资料:本组16例中.女7例,男9例,年龄9～63岁。农民15例,学生1例.均为散发,有野外劳动史。1.2 症状体征:16例均有发热,热程最长者14天,最短5天,平均9.8天.热型均为驰张热。16例均有头痛、头晕,9例眼眶痛,10例有腰痛及全身痛,13例有耳鸣,视物模糊。5例有咳嗽、胸闷、肺部可闻及区干罗音,2例闻及湿罗音。16例均有不同程度的面、颈及胸部充血,眼结膜及软腭充血,部分病例软腭部可见出血点,均有醉酒貌。9例出现全身性皮疹,7例发现典型焦痂及虫咬溃疡。枕后及颈淋巴结肿大压痛10例,腋下及腹股沟淋巴结肿大压痛6例。
September 1996 ~ November 1996. Our hospital received a total of 158 cases of tsutsugamushi disease, of which 16 cases were misdiagnosed as hemorrhagic fever with renal syndrome (HFRS). Of the 16 cases, 8 had kidney damage, 7 had liver damage, and 5 had lung damage at the same time. The report is as follows. 1 Clinical data 1.1 General Information: The group of 16 cases. Female 7 cases, 9 males, aged 9 to 63 years. There are 15 peasants and 1 student, all of whom are distributed and have a history of working in the wild. 1.2 Symptoms and signs: 16 cases were fever, the longest heat 14 days, the shortest 5 days, an average of 9.8 days. All 16 cases had headache, dizziness, 9 cases of orbital pain, 10 cases of back pain and body ache, 13 cases of tinnitus, blurred vision. Five patients had cough, chest tightness, lungs can smell and area dry rales, two cases of wet rales. There were 16 cases of varying degrees of congestion of the face, neck and chest, conjunctival and soft palate congestion, some cases showed bleeding spots in the soft palate, have drunk appearance. Nine patients had a systemic rash and seven had typical eschar and insect bites and ulcers. Occipital and cervical lymph nodes tenderness in 10 cases, armpit and inguinal lymph nodes tenderness in 6 cases.