陕西省发现莱姆病14例报告

Report of discovery 14 cases of Lyme Disease in ShanXi

目的调查了解陕西省是否存在莱姆病患者，为防治提供科学依据。方法莱姆病血清抗体采用间接免疫荧光（IFA）方法检测，病原学采用培养分离和暗视野观察，辅助临床生化学。临床表现和体检及流行病学资料。结果发现莱姆病患者14例，其中关节损伤型7例，占患者总数50．0％，心脏损伤型和肾脏损伤型各2例，各占14.3％，肝脏损伤型、游走性红斑和结膜炎型各1例，各占患者总数的7．1％；患者职业分布主要为林业工人和山区农民，分别占职业患病总数的50．0％（7／14）和42．9％（6／14），均有蜱的叮咬史：大剂量抗生素治疗有很好的效果。结论首次证实陕西省存在有莱姆病患者，建议当地医务人员在疾病的诊治中注意莱姆病的鉴别诊断，并作好防治工作。

Objective Investigate whether exists patients with Lyme Disease in ShanXi province, Provide scientific basis for the prevention and control. Method Serum antibodies Lyme Disease were examined by indirect immunofluorescence （IFA） method, By cultivating etiology separation and dark field observation, Assistant clinical biochemistry and Clinical manifestations and physical examination and Epidemiotogical data. Results 14 patients were found Lyme Disease, 7 cases of joint damage type, 50.00% total patients, Heart damage type 2 cases and kidney damage type 2 cases, each 14.29%, Liver damage type 1 cases and erythema migration 1 cases and Conjunctivitis type 1 cases and each 7.14% total patients. Vocational distribution of patients mainly for forestry workers and peasants mountain, The total occupational sick respectively is 50.00% （7/14） and is 42.86% （6/14）, Are ticks bites history, Large doses of antibiotics has very good effect. Conelutious For the first time, exicts of Lyme Disease in ShanXi area is confirmed, Suggest local medical personnel in the diagnosis and treatment of diseases in the differential diagnosis of lyme disease and make prevention and treatment.