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目的观察东莨菪硷等综合治疗钩端螺旋体病（简称钩体病）肺出血型的疗效。方法将３５６例钩体病患者按发生年限分为两组：对照组９６～９７年为１０９例，观察组９８年为２４７例。对照组采用传统的内科治疗方法，观察组采用东莨菪硷为主综合治疗。两组肺出血型分组比例无差异（Ｐ＞０．０５）。结果观察组的疗效明显优于对照组（Ｐ＜０．０１），观察组的病死率明显降低（Ｐ＜０．０１）。结论使用东莨菪硷、酚妥拉明等综合治疗肺出血型钩体病获得满意疗效，值得临床推广应用。
Objective To observe the efficacy of scopolamine and other comprehensive treatment of leprosy disease (leptospirosis) pulmonary hemorrhage. Methods 356 cases of leptospirosis patients were divided into two groups according to their length of life: 96 to 97 years in the control group was 109 cases, the observation group 987 247 cases. The control group using traditional medical treatment, the observation group using scopolamine-based comprehensive treatment. There was no difference in the proportion of pulmonary hemorrhage between the two groups (P> 0.05). Results The efficacy of the observation group was significantly better than that of the control group (P <0.01). The mortality of the observation group was significantly lower (P <0.01). Conclusion The use of scopolamine, phentolamine and other comprehensive treatment of pulmonary hemorrhagic leptospirosis obtained satisfactory results, worthy of clinical application.