【摘要】：目的探討恙蟲病并發(fā)肺部損害的臨床表現(xiàn)及影響預(yù)后的因素。方法回顧分析收治的144例恙蟲病患者的臨床資料,包括主要臨床表現(xiàn)、實(shí)驗(yàn)室資料、胸片、CT等,所有患者按確診時(shí)間長(zhǎng)短分為確診時(shí)間7 d組、確診時(shí)間7~13 d組和確診時(shí)間≥14 d組,按年齡分為60歲組和≥60歲組,分析患者確診時(shí)間和年齡對(duì)患者并發(fā)肺部損害及預(yù)后的影響。結(jié)果 144例恙蟲病患者大多數(shù)符合恙蟲病的典型臨床表現(xiàn),其中89例(61.8%)出現(xiàn)咳嗽、49例(34.0%)出現(xiàn)氣促,21例(14.6%)出現(xiàn)急性呼吸衰竭;72例(50.0%)并發(fā)肺部損害,其中支氣管炎7例(9.7%)、雙肺間質(zhì)性炎癥12例(16.7%)、肺炎47例(65.3%),胸腔積液23例(31.9%)。確診時(shí)間7 d組66例,出現(xiàn)肺部損害18例(27.3%),多器官損害16例(24.2%),死亡1例(1.5%);確診時(shí)間7~13d組60例,出現(xiàn)肺部損害39例(65.0%),多器官損害40例(66.7%),死亡4例(6.7%);確診時(shí)間≥14 d組18例,出現(xiàn)肺部損害15例(83.3%),多器官損害16例(88.9%),死亡3例(16.7%)。與確診時(shí)間≥14 d組比較,確診時(shí)間7 d組患者并發(fā)肺部損害、多器官損害及死亡比例顯著降低(P0.05)。與60歲組相比較,≥60歲組患者并發(fā)肺部損害發(fā)生比例無(wú)明顯上升、但多器官損害及死亡比例顯著升高(P0.05)。結(jié)論恙蟲病患者并發(fā)肺部損害的比例較高,其預(yù)后與確診時(shí)間及患者年齡密切相關(guān),早期診斷和早期有效治療是影響恙蟲病患者預(yù)后的重要因素。
[Abstract]:Objective to investigate the clinical manifestations and prognostic factors of tsutsugamushi disease complicated with pulmonary damage. Methods the clinical data of 144 patients with tsutsugamushi disease, including main clinical manifestations, laboratory data, chest radiography, CT and so on, were analyzed retrospectively. all patients were divided into 7 days group according to the length of diagnosis. The diagnosis time was 7 鈮，

本文編號(hào)：2481883