摘要
目的探讨局部流行麻疹患者的临床特点。方法回顾性调查2009年2月～5月收住的234例麻疹病例，分析其流行病学特征和临床特点。结果发病年龄以婴幼儿及大于30岁者为主（79．9％）;部分患者临床不典型：使用激素后出疹时间延迟，发热到出疹时间〉6d著39例，占16．7％；并发症发生率高：肝功能酶谱异常者占65．7％（132／201），电解质紊乱占41．8％（84／201）。结论为预防和控制麻疹：婴幼儿应提前接种麻疹疫苗、成人需加强接种；麻疹患者应加强监测，注意不典型病例和并发症。
Objectjve To analyze the clinical characteristics of measles patients by analyzing the clinical data of hospitalized patients in Changshu No.2 people＇s hospital from February to May in 2009.Methods The clinical data of 234 measles in patients were analyzed by the method of retrospective analysis.Results The highest incidence rate was not only distributed in infants and young children,but also in the adults over 30 years old, accounting for 79.9 % ; some patients had a lot of atypical clinical features： （1）The rash was delayed after the use of hormone, and the interval of fever to rash in 16.7% patients were more than six days. （2）The incidence of complications was high： dysfunction of liver（65.7%）; electrolyte disturbance（41.8%）.Conclusion To better control ascending trends of adult and infant measles,the time of first vaccination should be brought forward in children and scope of immunization should be augmented in preschool children of high risk region,and measles vaccine supplementary immunization activities should be conducted at suitable time as well.On patients with measles, the monitoring should be enhanced to prevent complifications.
出处
《中国血液流变学杂志》
CAS
2009年第4期587-588,596,共3页
Chinese Journal of Hemorheology
关键词
麻疹
出疹时间
电解质紊乱
Measles
Clinical characteristics
Epidemiology
