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布鲁杆菌病患者的临床诊断及随访调查研究

The clinical Diagnosis and follow-up investigation research of the patients with brucellosis

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【作者】 邢丽常晓华马风妹付玉荣

【Author】 XING Li;CHANG Xiao-hua;MA Feng-mei;FU Yu-rong;the People’s Hospital of Binzhou City,second infections department;the medical college of Weifang City,Shan Dong Province;

【机构】 滨州市人民医院感染二科山东省潍坊医学院

【摘要】 目的通过对布鲁杆菌病患者进行随访调查,为临床采取合理的预防和治疗措施提供有力证据。方法 71例布鲁杆菌病患者,应用调查问卷和电话随访的方式,了解患者的发病症状及并发症等情况。结果 71例患者中第1次就诊出现的症状以发热、关节肿疼、乏力、多汗及淋巴结肿大为主;并发症以转氨酶升高、肺炎、睾丸鞘膜积液、胸腔积液、呼吸功能衰竭为主;经治疗,71例患者在9个月内不良体征和症状均消失,其中1个月内消失占35.21%,3个月内消失占39.44%,6个月内消失占21.13%,9月内消失的占4.23%。结论通过随访调查发现,分离培养、血清凝集实验均可有效对布鲁杆菌病进行诊断。

【Abstract】 Objective To given the follow-up investigation for the patients with brucellosis,and provided the strong evidence of reasonable prevention and therapeutic measures on the clinic.Methods 71 cases of brucellosis patients,with questionnaire survey and telephone follow-up,understand the patient’s symptoms and complications.Results 71 cases of visits for the first time in patients with symptoms of fever,joint swelling pain,fatigue,sweating and lymph node enlargement mainly;complication of transaminase elevations,pneumonia,hydrocele of tunica vaginalis,pleural effusion,respiratory failure;after treatment,71 patients in nine months bad signs and symptoms were disappeared,of which 1months disappeared 35.21%,within 3months disappeared 39.44%,within 6months disappeared for 21.13%,9months disappeared 4.23%.Conclusion To discovered by follow-up investigation,they are able to effective diagnosing for the brucellosis by isolated culture and RBPT.

【关键词】 布鲁杆菌病诊断随访调查研究
【Key words】 BrucellosisDiagnoseFollow-upInvestigation
【基金】 国家自然科学基金资助项目;项目编号:81100006
  • 【文献出处】 中国地方病防治杂志 ,Chinese Journal of Control of Endemic Diseases , 编辑部邮箱 ,2016年06期
  • 【分类号】R516.7
  • 【下载频次】48
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