Observation of 12 cases of leptospirosis and nursing.doc

 PAGE \* MERGEFORMAT 11 Observation of 12 cases of leptospirosis and nursing [Keywords:] complications of leptospirosis nursing observation Leptospirosis is caused by the pathogenic Leptospira acute systemic infections. Clinical sepsis Leptospira can be divided into early, medium-term damage and dysfunction of various organs, as well as a variety of post-course allergic complications can occur in patients with severe liver failure and severe pulmonary diffuse hemorrhage, and often endanger the lives of patients [1]. protrusions clinical manifestations of fever, body aches, weakness, conjunctival hyperemia, superficial lymph nodes, gastrocnemius muscle tenderness, due to leptospirosis virulence of different size and number of intrusion, the human immune system and reactivity of different, and thus more complex clinical presentation and severity vary widely, the same type of Leptospira can cause different clinical manifestations, Also different types of Leptospira can cause very similar clinical syndrome. luckier ones, such as the common cold, 3 to 5 days automatically drop the body temperature returned to normal, obvious severe or severe sepsis syndrome, pulmonary hemorrhage and other hemorrhagic type and jaundice . meticulous care and help the correct diagnosis and treatment of disease. our hospital in January 1998 to December 2008 were treated 12 cases of leptospirosis patients, will now report the following observation and nursing care. Clinical data The group of 12 patients, 9 males and 3 females, aged 14 to 67 years, of which 10 cases of farmers, unemployed workers in 2 cases, all cases had the history of the field work history or activities, length of hospital stay from 1 to 35 days. This group 10 patients had complications after antibiotic therapy after diagnosis, and other symptomatic and supportive treatment, 6 patients were cured, 4 cases improved and 2 died, the mortality rate of 16.7%. from the data view, male patients significantly more