目的: 通过对某三甲医院2013～ 2016 期间住院的477 例布鲁菌病病例的流行病学特征和临床特点
进行总结，为地区布鲁菌病的防治提供经验。方法: 检索某三甲医院于2013－01 ～ 2016－12 所确诊的477 例布氏
杆菌病病人病历，将所有数据信息用Excel 表进行汇总，进行统计分析。结果: 477 例病人来源于内蒙古自治区
10 个盟市及山西省、甘肃省、河北省，其中乌兰察布市238 例( 49．9%) ，发病数量居首位; 病人平均年龄为52 岁，
其中，45～ 65 岁年龄偏多，占63．5%; 病人男女比例为1．84: 1; 3 ～ 8mo 为发病的高峰期，共发病278 例，占58．3%。
并发症以骨关节炎、脊柱炎、神经损害、肝损害、脑炎及脑膜炎多见; 首诊科室以呼吸内科、风湿免疫科、骨科为
主，平均住院日为11．8d。结论: 布鲁菌病临床表现复杂多样，并发症多，容易出现误诊，临床医师应加强对本病
的认识提高诊疗水平，提高确诊率，缩短确诊时间。

Objective: To review the clinical features and epidemiological features of 477 cases with
brucellosis，provide scientific basis for developing the prevention strategies and control measures of brucellosis．
Methods: To retrieve the medical records of 477 cases of brucellosis patients confirmed by a
third hospital from January 2013 to December 2016，all data information was summarized in Excel and
statistical analysis was conducted．Ｒesults: The number of cases of 477 cases originated from 10 unita
cities in Inner Mongolia autonomous region，Shanxi Province，gansu province and hebei province．Among
them，238 cases( 49．9%) were the number of cases in ulanqab．The average age of the patient was 52
years old，among which，45 to 65 years old， 63．5%．The ratio of male and female patients was 1．84: 1;
From march to August， there were 278 cases，accounting for 58．3%． Complications of osteoarthritis，
spondylitis，nerve damage， liver damage，encephalitis and meningitis are common．The first department
of the department of respiratory medicine， rheumatoid immunology，orthopedics， the average hospital day
was 11．8．Conclusion: The clinical manifestations of brucellosis are complex and varied，and there are
many complications．It is easy to be misdiagnosed．Clinicians should strengthen the understanding of the
disease， improve the level of diagnosis and treatment， improve the diagnosis rate and shorten the diagnosis
time．

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