|本期目录/Table of Contents|

[1]李平,徐静,郑文凯,等.42例军队成人麻疹的临床特征分析[J].医学研究与战创伤救治(原医学研究生学报),2016,18(04):368-369,373.[doi:10.3969/j.issn.1672-271X.2016.04.009]
 LI Ping,XU Jing,ZHENG Wen-kai,et al.Clinical characteristics of 42 cases of military adult measles patients[J].JOURNAL OF MEDICALRESEARCH —COMBAT TRAUMA CARE,2016,18(04):368-369,373.[doi:10.3969/j.issn.1672-271X.2016.04.009]
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42例军队成人麻疹的临床特征分析()

《医学研究与战创伤救治》(原医学研究生学报)[ISSN:1672-271X/CN:32-1713/R]

卷:
第18卷
期数:
2016年04期
页码:
368-369,373
栏目:
出版日期:
2016-08-20

文章信息/Info

Title:
Clinical characteristics of 42 cases of military adult measles patients
作者:
李平1徐静1郑文凯1汪茂荣1陈德生2
210002江苏南京,解放军81医院,1.传染科,2.医务处
Author(s):
LI Ping1XU Jing1ZHENG Wen-kai1WANG Mao-rong1CHEN De-sheng2.
1.Department of Infection Diseases,2. Medical Administration Office, 81 Hospital of PLA, Nanjing,Jiangsu 210002, China
关键词:
麻疹成人临床特征
Keywords:
adult measles clinical characteristics
分类号:
R511.1
DOI:
10.3969/j.issn.1672-271X.2016.04.009
文献标志码:
A
摘要:
目的 探讨分析近年军队成人麻疹的临床特征。方法 收集我院住院确诊为麻疹的患者资料,按发病住院时间顺序编号,并设计统一的登记调查表。分析内容包括一般信息、症状体征、诊断、 相关检查结果、并发症、治疗、住院时间。结果 42例军队成人麻疹发病主要集中在2-6月,症状为发热、皮疹、畏光流泪、口腔黏膜Koplik斑等。27例(64.3%)患者出现并发症,主要以上呼吸道感染 (23.8%)、肝脏损害(21.4%)、肾脏损害(16.7%)、消化道症状(12.3%)、肺部感染(4.8%)、心肌损害(2.4%)为主。所有患者均痊愈出院,平均住院时间8 d。结论 军队成人麻疹发病主要以 春季为主,中毒症状重,并发症多,需加强防控管理工作。
Abstract:
Objective To investigate the clinical characteristics of military adult measles in recent years. Methods The clinical data of patients diagnosed with measles from our hospital was collected and numbered according to the onset time. The data include general information, signs and symptoms, diagnosis, relevant test results, complications, treatment and hospital stay were analyzed. Results The peak incidence of measles was during the period from February to June. The mainly symptoms were fever, rash, photophobia, tearing and oral mucosal Koplik spots. 27 cases (64.3%) patients appeared complications. The mainly complications were upper respiratory tract infection (23.8%), liver damage (21.4%), kidney damage (16.7%), gastrointestinal symptoms (12.3%), lung infection (4.8%), myocardial damage (2.4%). All of 42 patients were cured, and the average hospital stay was 8d. Conclusion The military adult measles occurred mainly in spring. The symptoms and complications of the disease were serious. More work should be strengthened to prevent and control it.

参考文献/References:

[1]杨绍基,任红.传染病学[M].7版.北京:人民卫生出版社,2008:69-74.
[2]Zhi F, Wang R, Yan HQ, et al. Difficulties in eliminating measles and controlling rubella and mumps: a cross-sectional study of a first measles and rubella vaccination and a second measles, mumps, and rubella vaccination[J]. PloS One, 2014, 9(2): e89361. [3]贾俊江.麻疹疫情动态与流行特征分析[J].中国实用医药,2011, 1(4):119-120.
[4]李锋,董蒲梅,乔荣宪,等.2005年麻疹流行病学特征分析[J].医药论坛杂志,2006,27(19):40-41.
[5]丁元江,郭辉,郝子成,等. 1966~2003年滨州市麻疹流行特征及防制效果[J].预防医学论坛,2004,10(5):632-633.
[6]Dominguez A, Torner N, Barrabeig I, et al. Working group for the study of the measles outbreak in catalonial large outbreak of measles in a community with high vaccination coverage: implications for the vaccination schedule[J]. Clin Infect Dis,2008,47(9): 1143-1149.
[7]董捷,杨巍,董志强,等. 636例典型麻疹住院患者临床特征分析[J].中国医科大学学报,2011,40(10):955-958.
[8]陈小凤,尚宁. 成人麻疹31例误诊分析[J].东南国防医药,2008,10(3):211-212.
[9]耿倩,陈蓉,张涛. 2006-2011年上海市麻疹流行病学特征分析[J].中华疾病控制杂志,2013,17(11):955-958.
[10]谢学迎,刘登红,刘爱国. 泰安市2005-2012年麻疹流行病学特征分析[J].现代预防医学,2014,41(5):777-781.
[11]张宁静,张晓曙,付鸿.甘肃省<8月龄及≥15岁人群麻疹发病危险因素分析[J].中华流行病学杂志,2014,35(10):1095-1098.
[12]杜娟,王艳,丁体龙,等. 部队官兵卫生防疫保护知识调查与分析[J].东南国防医药,2013,15(6):566-568.

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备注/Memo

备注/Memo:
南京军区医学科技创新重大项目(15DX010)
更新日期/Last Update: 2016-07-20