摘要
目的加强对布鲁杆菌病的认识,为早期诊断及防止误诊提供依据。方法采用回顾性方法分析57例布鲁杆菌病患者的流行病学特征及临床资料。结果发病人群主要为男性、农牧民。感染途径主要为接触或食用感染布鲁杆菌的动物。地区主要分布于农牧区,有向城市蔓延趋势;发病率有升高趋势。临床表现主以发热(71.92%)、乏力(66.67%)、关节疼痛(66.67%)、淋巴结肿大(29.82%)及贫血(19.30%)为主,实验室检查白细胞计数下降者占12.28%,血小板下降者占8.71%),血沉、血清免疫球蛋白及ALT升高者分别占61.40%、42.11%及29.82%。按照WHO相关建议规范治疗后,患者预后较好。结论布鲁杆菌病临床表现复杂,临床医师应加强对其认识,防止误诊;加强人畜的防疫工作十分重要。
Objective To investigate brucellosis and provide data for early diagnosis and reducing misdiagnosis. Methods To review and analyze epidemiological and clinical features of 57 patients. Results Most of patients were males, farmers and herdsmen and mainly located in rural and pastoral areas, with a trend of spreading to the city. The main clinical manifestations were fever （71.92%）, fatigue （66.7%）, joint pain （66.67%）, lymphadenopathy （29.29%） and anemia （19.30%）. Results of laboratory detection of blood showed 12.28%patients occured leukocytes reduction;8.71%cases with platelets reduction, while erythrocyte sedimentation rate, globulin and alanine transaminase （ALT） were increased during 61.40%, 61.40% and 29.82%patients, respectively. After standard treatment of WHO, all patients were with good prognosis. Conclutions The clinical manifestations of brucellosis was complicated, so close attention should be paid to avoid misdiagnosis, and prevention strategy should be strenthened.
出处
《中华实验和临床感染病杂志（电子版）》
CAS
2013年第4期77-79,共3页
Chinese Journal of Experimental and Clinical Infectious Diseases(Electronic Edition)
关键词
布鲁杆菌病
流行病学
疾病特征
误诊
Brucellosis
Epidemiology
Diseases attributes
Diagnostic errors.
