2002年广州市登革热流行的临床特征分析  

The Analysis of Clinical Characteristics of Dengue Fever in Guangzhou

作　　者：王彤[1] 谢敏[2] 谭秀莲[1] 吴海东[1] 施旖旎[1] 

机构地区：[1]中山大学附属第二医院急诊科,广东广州510120 [2]广州市第八人民医院,广东广州510000

出　　处：《国际医药卫生导报》2004年第22期150-152,共3页International Medicine and Health Guidance News

摘　　要：目的 探讨2002年广州市登革热流行的临床特征,提高临床医师对登革热的全面认识。方法 将2002年全年收治入院的862例登革热患者进行临床特征分析。结果 登革热发病有家庭聚集性;临床表现为发热(100%),头痛(92.2%),畏寒(85.5%),全身关节酸痛(71.3%),皮疹(60.8%);伴随肝功能异常(93.4%),白细胞减少(75.3%)、血小板减少(64.8%);淋巴结、肝、脾肿大较少见;所有病例登革热病毒IgM阳性。结论 本次登革热流行规模较大,临床表现典型但无特异性,合并有多脏器损害,尤其是肝脏损害较多见,确诊依据登革热病毒IgM抗体检查。Objective To investigate the clinical features of dengue fever in Guangzhou in 2002 andhelp physician be full ware of dengue virus infection. Metheds The clinical data of 862 hospitalizedcases with dengue virus infection was analyzed. Results dengue fever had the character of familygathering. Fever (100%), headache (92.2%), chilly(85.5%), joint pain(71.3%), skin rash(60.8%) werecommon. Dengue fever often followed multiple organ damage, such as abnormal liver function(93.4%),leukopenia(75.3%) and thrombocytopenia(64.8%). Dengue virus IgM antibody in all cases was positive.Conclusions Prevalent scope of dengue fever of Guangzhou was extensive in 2002. Clinical manifestationwere typical and no specificity. Hepatic function damage was most common. Confirmed diagnosis wasdepended on dengue virus IgM antibody.

关 键 词：登革热 临床特征 多脏器损害 

分 类 号：R512.8[医药卫生—内科学]