摘要
目的探讨布鲁菌病的流行病学、临床表现及其实验室诊断特点,提高对布鲁菌病的诊断水平。方法回顾性分析本院2015年-2017年血培养检出布鲁菌的9例患者的流行病学特征、临床资料及实验室指标。结果9例布鲁菌病患者均为中年男性,主要经牛羊接触感染,临床主要表现为发热、多汗、乏力及关节痛,可并发肝功能及泌尿系统损害,实验室常规检查常见炎症指标增高,血培养平均2.5d^5d可报阳。结论临床医生与实验室人员需加强对布鲁菌病的认识,对不明原因发热患者应注意流行病学的采集,多次送检血培养,延长培养时间,提高布鲁菌的血培养阳性检出率,争取做到早诊断、早治疗。
Objective To investigate the epidemiological,clinical manifestations and laboratory characteristics of Brucellosis in order to improve the diagnosis of Brucellosis.Methods A retrospective analysis was made on the epidemiological characteristics,clinical data and laboratory characteristics of 9 cases of Brucella which were detected in blood culture from 2015 to 2017 in our hospital.Results Nine cases of Brucellosis were all middle-aged males,mainly infected by the contact with cattle and sheep.The main clinical manifestations were fever,hyperhidrosis,fatigue and arthralgia,and liver function and urinary system damage.The common inflammation index of laboratory examination increased.The average blood culture time was 2.5 d-5 d.Conclusion Doctors and laboratory personnel need to strengthen the understanding of Brucellosis.The patients with fever of unknown origin should pay attention to collecting epidemiology,sending blood culture for several times and prolonging culture time.
作者
秦佳佳
吴明娇
钱娇
彭敏飞
QIN Jia-jia;WU Ming-jiao;QIAN Jiao;PENG Min-fei(Clinical Laboratory,Taizhou Hospital of Zhejiang Province,Taizhou Enze Medical Center(Group),Linhai,Zhejiang Province,China)
出处
《中国卫生检验杂志》
CAS
2019年第20期2485-2487,共3页
Chinese Journal of Health Laboratory Technology
关键词
布鲁菌病
临床表现
实验室特征
血培养
Brucellosis
Clinical manifestations
Laboratory characteristics
Blood culture
