成人麻疹95例临床分析  

Clinical analysis of 95 patients with adult measles

作　　者：史庆国[1] 

机构地区：[1]溧阳市人民医院感染病科,213300

出　　处：《江苏医药》2006年第8期735-736,共2页Jiangsu Medical Journal

摘　　要：目的了解成人麻疹的临床特点。方法对住院的95例成人麻疹临床资料进行回顾性整理和分析。结果成人麻疹临床特点:(1)成人麻疹发病呈上升趋势,青年人居多(92/95,96.8%);(2)临床症状典型,全身中毒症状重,高热者多见(92/95,96.8%);(3)皮疹及出疹时间、顺序较为典型,麻疹粘膜斑较多见(87/95,91.6%);(4)胃肠道症状明显,腹泻者较多见(37/95,39.0%);(5)易损害肝脏(43/91,47.3%)和心脏(42/91,46.2%);(6)早期易误诊为上感、支气管炎、肠炎(64/95,67.4%);(7)并发症不多(17/95,17.9%),预后良好。结论成人尤其是青年人可成为麻疹易感者。要预防和控制成人麻疹,关键是普遍进行麻疹疫苗复种。Objective To analyze the clinical features of adult measles in 95 patients. Method The clinical data of 95 adult patients with a diagnosis of measles were collected and retrospectively analyzed. Results There was an increasingly tendency to the incidence of adult measles, especially in the younglings （92/95,96. 8%）. The patients with adult measles had the typical clinical manifestations including severe systemic toxic responses, high fever （87/95,91.6%）, and diarrhea （37/95, 39.0%）. Of 95 patients,43 cases （46.2%） with the influence on the heart. Adult measles was easily misdiagnosed as flu, bronchitis, or enteritis（64/95, 67. 4%）. But the incidence of complication was less （17/95,17.9%）, and the prognosis was good. Condnsion The younglings may he susceptible to measles. The key for the prevention of adult measles is revaccination in the susceptible susceptible population.

关 键 词：麻疹 成人 预防接种 

分 类 号：R511.1[医药卫生—内科学]