130例麻疹临床特点分析.pdfVIP

现代医药卫生2008午 24卷蓐5期 651 130例麻疹临床特点分析 王 伟 张学峰 (沈阳市传染病院．辽宁沈阳1 10006) 【摘要】目的：探讨成人麻疹临眯特征。方法：对收治的130例成人麻疹患者的临床资料进行回顾性分析 结果：130洌患者男女比 为1．7：l，平均年龄31岁 农村占65．4％，【Ill清麻疹lgM抗体『；n性率为75-4％，热峰高于39℃ i63．9％ ，麻疹病毒性肝炎及不同程度的心 肌损害是麻疹的一个临床特征。结论：成人体内麻疹抗体量不足或淌失是导致成人麻疹发病的一个原因。有必要对成人进行麻疹疫 荫增强免疫 【关键词】麻疹；临床特 ；疫荫 文章编号：1009—5519(2008)05—0651—02 中图分类号：R5 文献标识码：A Analysis on the clinical features of measles in 130 cases WANG Wet．ZItANG Xue feng (Shenyang Infectious Diseases Hospital，Shenyang 110006，China) 【Abstract]Objective：To study the clinical features of adult measles patients by analyzing the clinical data of in-patients in the sixth peoples hospital of Shenyang in 2006．Methods：The clinical data of 130 aduh nmasles in-patients wel。e analyzed by the method of retrospective analysis．Results：Among 1 30 cases．the ratio of male to female was 1．7：1 and the average age was 3 1 years old．Rural area accounted for 65．4％(mainly distributing in some al’eas whel‘e external workers gathered)．The positive rate of selqlm measles antibody was 75．4％．the fever peak of patients was higher than 39．0℃ accounting for 63．9％．Measles virus hepatitis and different degrees of myieardial damage were the clinical features．Conclusion：Deficiency or disappearance of measles antibody in adult body was the cause which led to measles．Themfore，adults should be given measles vaccine to enhance immunity． 【K words]Measles；Clinical featmv；Vaccine 麻疹是麻疹病毒引的急性呼吸道传染病，临床症状有发 地居民以及外来打工者。其中城市45例，占34．6％，居住较分散 热、咳漱、流涕、眼结膜充血、口腔黏膜有科普利克斑及皮肤出 农村85例．占65．4％．主要分布在多处外来打工者集聚地。 现斑丘疹为其特征。传染性非常强．是小儿常见的死亡原凶之 2-3 临床