氯霉素治疗恙虫病肺炎52例临床分析

目的通过对恙虫病肺炎的临床治疗效果分析,为临床治疗提供依据。方法对1999年1月～2009年12月收治的52例恙虫病肺炎按有无呼吸困难分为A、B两组,A组32例,B组20例,两组确诊肺炎同时OXk试验阳性,上述两组同时以氯霉素结合对症支持治疗后随访2周。结果 A组治疗7天后有效27例,2周后全部治愈,B组治疗7天后死亡5例,有效2例,继续治疗7天后治愈12例,死亡3例。A组与B组有效率比较差异有显著性(P<0.01)。结论不同严重程度的恙虫病肺炎使用氯霉素治疗疗程不同。

Objective Analyze the clinical outcomes of scrub typhus pneumonia for providing the basis of the clinical. Methods Scrub typhus pneumonia cases were divided into A and B groups by difficult breathing or not from january in 1999 to december in 2009.There are 32 cases of the A group and 20 cases of the B group,these both groups were confirmed not only pneumonia but also OXk positive. At the same time these both groups are followed-up for two weeks after chloramphenicol treat and symptomatic support treat. Results There are effective in 27 cases of the A grou by treated after seven days and cured all of them after two weeks, There are two effective and five dead cases of the B grou by treated after seven days.further treatmented seven days, there are cured 12 cases and died 3 cases of the B grou. it was a significant difference that the efficient of A group compared to B group（P0.01）. Conclusion Different severe scrub typhus pneumonia need different course of treatment by using chloramphenicol treatment.