发热伴血小板减少综合征210例临床分析

Clinical analysis of 210 cases of fever with thrombocytopenia syndrome

目的 分析发热伴血小板减少综合征（SFTS）的临床特点,提高对该病的认识,加强该病的防治,提高生存率.方法 回顾性分析210例SFTS患者的临床资料,分析临床特点和救治方法.结果 210例患者中,轻型115例,重型95例.临床治愈出院191例,其中轻症115例,重症95例,总有效率90.95%;病死19例,病死率9.04%.结论 SFTS主要表现为发热,乏力、恶心呕吐、腹泻.治疗方法主要为对症治疗,对早期不能鉴别的病例,可加用多西环素,有基础疾病的患者和重症病例预后差.白细胞和血小板数量、乳酸脱氢酶与疾病预后有关.

Objective To summarize the clinical features of severe fever with thrombocytopenia syndrome（SFTS）,to improve the understanding of the disease,and strengthen the prevention and treatment of the disease,thus to improve the survival rate.Methods To analyze the patients with SFTS in our hospital,including their clinical characteristics and treatment methods.Results Of 210 patients,115 cases were mild,95 cases were heavy cases.191 cases were cured and discharged,among them,115 cases were mild,and the others were severe in all cases.The total effective rate was 90.95%,with a total mortality of 19 cases,with a fatality rate of 9.04%.Conclusion SFTS mainly manifested as fever,fatigue,nausea,vomiting,diarrhea.The treatment is mainly symptomatic treatment of early cases can not be identified,can be added with doxycycline.Those have basic disease and poor prognosis often have severe syndromes.White blood cell,platelet count and lactate dehydrogenase are related to the prognosis of the disease.