恙虫病70例临床表现及影像分析

目的探讨恙虫病心肺、头颅影像表现与临床表现相关性。方法对近期70例确诊为恙虫病患者进行临床及影像表现进行回顾性分析。结果患者临床主要表现为发热、抽搐、皮肤焦痂和溃疡、皮疹、全身酸痛或浅表淋巴结肿大、头痛、心悸,但小儿与成年人表现有一定差异。其中做胸部平片30例,异常24例。头颅CT平扫7例,2例异常。经治疗后69例痊愈或好转出院,1例死亡。结论恙虫病确诊虽主要靠临床表现及实验室检查,但影像检查对临床有重要辅助作用。皮肤焦痂和外斐实验阳性对诊断虽都有特征性意义,但二者没有必然性。恙虫病易引起多器官受累合并症,早期诊断很重要,及时给予特效药,治愈率很高。

Objective To probe the relationship between lung-head imaging findings and clinical performance for scrub typhus. Methods A retrospective collection of recent 70 cases of scrub typhus patients diagnosed as clinical and imaging performance were analyzed. Results The main clinical manifestations were fever, convulsions, eschar and skin ulcers, rashes, body aches, or superficial lymph nodes, headache, heart palpitations, but the performance of children and adults had some differences. 30 patients were taken chest plain film, 24 cases were found abnormal. Head CT scan were detected in 7 cases, 2 cases were abnormal. After treatment, 69 cases recovered or improved and discharged, one died. Conclusion Although the diagnosis of scrub typhus depends mainly on clinical and laboratory examinations, but imaging has an important supporting role in clinical. The appearance of outer skin Eschar and the positive of WiFi test have a characteristic sense for the diagnosis, but not necessarily linked. Scrub typhus can lead to complications of multiple organ involvement. Early diagnosis is very important. We will see that the cure rate is very high if timely being cured by effective medicine.