麻疹177例临床分析  

Clinical analysis on 177 patients with measles

作　　者：朱永兵[1] 孙方明[1] 刘新矿[1] 

机构地区：[1]淮南市第一人民医院感染病科,安徽省淮南232007

出　　处：《中国基层医药》2014年第18期2742-2743,共2页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的 探讨麻疹流行的临床特点、预防接种及治疗转归,为进一步防治麻疹提供依据.方法 对177例麻疹患者的资料进行回顾性分析.结果 麻疹发病年龄分布呈两极分化,分别为婴幼儿（79.1％）及成年人（20.9％）;麻疹临床症状典型,黏膜斑均见;婴幼儿麻疹患者并发喉炎、支气管炎、支气管肺炎（33/140,22.6％）,并发症显著高于成年人;成年人麻疹患者全身中毒症状重,多见肝功能损害（34/37,89.2％）.结论 麻疹流行以典型性麻疹为主,婴儿、成年人发病率较往年明显升高.为控制麻疹流行,建议加强麻疹抗体滴度监测及疫苗接种.Objective To analyze the clinical characteristics,prevention,treatment and prognosis of patients with measles,and provide data for further prevention and complication control.Methods Data of 177 patients with measles were collected and analyzed retrospectively.Results Infants （79.1％） and adults （20.9％） accounted for the most part.The clinical symptoms of measles were typical and Koplik＇s was very common.The incidences of bronchitis and bronchial pneumonia were higher（33/140,22.6％） in infant patients than that in adults,which was more serious in adult patients,and usually accompanied by liver damage （34/37,89.2％）.Conclusion Currently measles is mainly typical,and the incidence in children and adults is increasing.In order to control measles,measles antibody titer monitoring and vaccination of measles should be strengthened.

关 键 词：麻疹 治疗 临床研究性 防治 

分 类 号：R511.1[医药卫生—内科学]