Wang B F
Department of Internal Medicine, Second Affiliated Hospital Hebei Medical College, Shijia Zhuang.
Zhonghua Jie He He Hu Xi Za Zhi. 1992 Oct;15(5):266-8, 317.
The clinical features and X-ray manifestations of 50 cases of legionnaires disease were analysed. 8 cases might be due to nosocomial infection through breathing in flying particles of the saliva or phlegm. According to the main clinical features, this disease could be divided into common pneumonia type; acute gastroenteritis type; encephalopathy type; shock type; acute renal insufficiency type. The differential diagnosis of legionnaires disease with mycoplasmal pneumonia, pneumococcal pneumonia and infiltrative pulmonary tuberculosis was also discussed. The first choice for treatment is erythromycin or erythromycin with rifampicin.
分析了50例军团病的临床特征及X线表现。8例可能是因吸入唾液或痰液飞沫而发生医院感染。根据主要临床特征，本病可分为普通肺炎型、急性胃肠炎型、脑病型、休克型、急性肾功能不全型。还讨论了军团病与支原体肺炎、肺炎球菌肺炎及浸润性肺结核的鉴别诊断。治疗的首选药物是红霉素或红霉素加 rifampicin。 （注：rifampicin一般译为利福平，但这里保留原文未翻译）
