辽宁、黑龙江省1342例婴幼儿与成人麻疹临床特征分析  

Clinical Characteristics Analysis of 1342 Cases of Infants and Adults Measles in Liaoning and Heilongjiang Province

作　　者：丁宁[1] 田霞[1] 孟晨鑫 马玉梅[1] 张明香[1] 

机构地区：[1]沈阳市第六人民医院肝病科,沈阳110006

出　　处：《中国医科大学学报》2016年第3期214-217,共4页Journal of China Medical University

基　　金：国家科技重大专项(2012ZX10004301-006)

摘　　要：目的比较辽宁、黑龙江省婴幼儿与成人麻疹患者的临床特征,为指导临床诊疗提供依据。方法收集2014年上半年辽宁省和黑龙江省10所传染病医院收治的340例婴幼儿(年龄≤4岁)麻疹与同期收治的1 002例成人(年龄≥17岁)麻疹病例,并对2组患者的临床资料进行对比分析。结果婴幼儿组和成人组麻疹患者在流行病学史、临床症状、辅助检查和并发症方面均存在统计学差异(P<0.05);2组患者全部治愈出院。结论各年龄层麻疹患者总体病情轻,预后好,其临床特征各有异同。婴幼儿肺部感染发生率较高,成人肝脏损害较严重,在麻疹的诊治过程中应引起高度重视。Objective To compare the clinical characteristics of infant and adult measles patients in Liaoning province and Heilongjiang province, so as to provide the basis for guiding clinical diagnosis and treatment. Methods Totally 340 eases of infants （age 4 or less） measles admitted in ten infectious disease hospitals of Liaoning and Heilongjiang province in the first half of 2014 as well as 1 002 cases of adult measles （ age 17 or higher） at the same period were retrospectively enrolled for the study, and the clinical data were analyzed. Results There were significant differences in his- tory of epidemiology, clinical symptoms, auxiliary examination and comphcations between infant and adult measles patients （ P 〈 0.05 ）. All patients in the two groups were cured. Conclusion The general condition of all ages measles patients are light with good prognosis. The infants measles showed a greater incidence of pulmonary infection, and the adults exhibits more serious liver damage, which should be noticed in the process of diagnosis and treatment of measles.

关 键 词：麻疹 临床特征 成人 儿童 回顾性分析 

分 类 号：R511.1[医药卫生—内科学]