【摘要】 目的:探讨军团病的特点,提高对军团病的认识,以防延误诊治。方法:对23例军团病进行分析并文献回顾。结果;Pontiac热型占17%(4/23),肺炎型占83％(19/23),其中肺炎型除肺炎外,近80％患者有胃肠肝肾和神经精神异常等肺外症状表现,72％的患者有低钠血症,37％有低钾、低氯血症,67％有血尿,28％合并胸腔积液,血清学符合率占74％,有时X线胸片的严重程度与临床表现不一致。结论:血清学对军团菌病的诊断固然重要,但“血清抗体阴性型”军团菌病在临床中仍占有相当的比例,需结合临床作出正确诊断,并给予合理治疗。更多还原

【Abstract】 Objective: To explore the characteristics of Legionnaires’ disease (LD) . Method: Retrospective analysis 23 LD cases with literature review. Result: 4 out of 23 patients (17% ) presented with Pontiac fever and 19/23 (83%) with pneumonia. In Le-gionella pneumonia, up to 80% of cases manifested with extrapulmonary symptoms as gastrointestinal, hepatic, nephrotic abnormalities and altered mental status, in which there were 72% with hyponatremia, 37% with hypokalemia and hypochloremia, 67% with hemouria and 28% with pleural effusion. 74% of the cases was diagnosed by serum antibody test. There was greatly unconformity between clinical presentation and chest X ray sometimes. Conclusion: As one of the atypical pneumonia, the type of Legoinella pneumonia with negative serum antibody is not uncommon although it is important for using serum antibody test to confirm the Legionella pneumonia.更多还原