福建省莱姆病的临床特征分析

Clinical and Epidemiological Analysis on Lyme Disease in Fujian,China

对福建省６年来（１９９０～１９９５年）发现的莱姆病病例从临床表现、血清学特征进行分析。作者认为在临床上对来自流行区、有蜱叮咬史、有皮肤特异损害及相关症状的患者应及时疑诊为莱姆病，早行血清学检测，力争“早发现、早治疗”。莱姆病在临床上应与类风湿性关节炎等其它疾病相鉴别，在眼科应特别注意其并发的多种眼部病变，在福建以中浆病（中心性浆液性视网膜炎）为多见。发现莱姆病心脏损害致死２例，从１例现场感染莱姆病的专业人员ＥＣＭ组织检出伯氏疏螺旋体ＤＮＡ。

From 1990-1995,68 cases were studied in Fujian,42 cases of them from investigation of Lyme disease in Fujian forest region and the other 26 cases from reporting of the department of ophthalmology. By means of clinical and epidemiologic analysis of 42 cases.Most cases had the history of tick biting(85.71%),about half cases(42.6%) with erythema chronicum migrans (ECM),over half cases with nervous system symptoms.Two cases was die from cardiac involvement.Borrelia burgdorferi DNA was detected out by using PCR method from a cases ECM specimen.The results indicated that Lyme disease is one of the new important emerging disease in Fujian, China.