1985～1990年6年间圣彼得堡地区登记钩端螺旋体病184例,85.3％的患者为20～60岁,男性占70.7％。半数以上发生在夏秋季(7～10月),其它季节较少。作者对1989～1990年圣彼得堡包特金医院收治的65例钩端螺旋体病患者进行了临床流行病学特点分析。 全部患者发病均较急,全身中毒症状明显,大多数患者表现为头痛、寒战、乏力、口干、食欲减退或厌食,肌肉痛以腓肠肌较多见。三分之一患者有腹痛和关节痛。第3 184 cases of leptospirosis were registered in St. Petersburg from 1985 to 1990, 85.3% of patients were 20-60 years old and 70.7% of men were male. More than half occurred in summer and autumn (July to October), less in other seasons. The authors conducted a clinical epidemiological analysis of 65 leptospirosis patients admitted to the Beit King Hospital, St. Petersburg, from 1989 to 1990. All patients were more acute onset of symptoms of systemic poisoning obvious, most patients showed headache, chills, fatigue, dry mouth, loss of appetite or anorexia, muscular pain to gastrocnemius more common. One-third of patients have abdominal pain and joint pain. 3rd