上海市长宁区2005—2011年输入性登革热临床及流行病学特征分析  

Analysis on Clinical and Epidemiological Characteristics of 12 Imported Cases with Dengue Fever

作　　者：李颖[1] 卫鹭[1] 袁祖英[1] 张蕾 庄建林[1] 

机构地区：[1]上海市长宁区疾病预防控制中心,上海200051 [2]上海和睦家医院,上海200336

出　　处：《中国初级卫生保健》2013年第9期97-99,共3页Chinese Primary Health Care

摘　　要：目的探讨本区2005年以来报告和管理的输入性登革热流行病学特征和临床特征,为输入性登革热防控提供依据。方法对收集本区2005—2011年报告和管理的12例输入性登革热病例资料进行回顾性分析。结果 12例患者中,男性9例,女性3例,平均年龄29.3岁。患者的输入国为东南亚国家,1例在海南旅游期间发病。12例患者均有明确的蚊子叮咬史,急性发病,首发症状为发热。8例患者有头痛表现,5例患者出现恶心症状,4例患者出现皮疹、背部压痛,其余与登革热相关的临床表现还有眼眶痛、肌肉关节痛等。登革热ELISA检测结果:IgM+IgG阳性6例,仅IgM阳性3例,仅IgG阳性2例,二者均阴性1例。结论长宁区输入性登革热的风险长期存在,对于在疫区居住、旅游和不明原因的发热患者,应考虑输入性登革热病例的可能并及时进行病原学检测。OBJECTIVE To analyze the clinical and epidemiological characteristics of dengue fever in Changning District of Shanghai so as to provide scientific evidence for dengue fever control.METHODS Clinical and epidemiological data of 12 imported cases with dengue fever from 2005 to 2011 were retrospectively analyzed.RESULTS There were 9 males and 3 female with the average age 29.3 years.11 cases came from Southeast Asia and the other one infected from Hainan Province.All of the patients had a history of recent exposure to mosquito bite.The common manifestations were seen as,fever（12/12）,headache（8/12）,nausea（5/12）,skin rash（4/8）,myalgia,orbit soreness etc.There were evidence of dengue fever ELISA test that 6 cases both IgM and IgG,3 cases only IgM,2 cases only IgG and 1case negative.CONCLUSION The risk of dengue fever＇s epidemic in Changing was always existed.The one had fevered unknown cause after came back from the epidemic districts of dengue fever,were regarded as suspected cases and had the detection of pathogens in time.

关 键 词：输入性 登革热 流行病学特征 临床特征 

分 类 号：R179.1[医药卫生—妇幼卫生保健]