高原地区小于6月龄婴儿麻疹临床流行病学分析  

Epidemiological characteristic analysis of less than 6 months measles in plateau area

作　　者：赵智[1,2] 刘合芳 桑珠达杰[2] 德吉措姆 达娃卓玛 

机构地区：[1]陕西省人民医院新生儿科,陕西西安710068 [2]阿里地区人民医院儿科,西藏阿里859009

出　　处：《热带医学杂志》2018年第1期104-106,共3页Journal of Tropical Medicine

摘　　要：目的探讨高原地区小于6月龄藏族婴儿麻疹流行病学特点和临床特征,提高医务人员对该病的诊疗水平。方法收集2016年5月至2017年4月在西藏阿里地区人民医院儿科住院且临床和(或)实验室明确诊断小于6月龄的麻疹病例资料,进行统计分析。结果住院并确诊麻疹小于6月龄患儿共21例,其中新生儿4例。21例患儿中男12例(57.1%),女9例(42.9%);出生体质量最小1 800 g,平均出生体质量(2 610±826.4)g;所有患儿均出现皮疹;16例(76.2%)患儿有不同程度发热;12例(57.1%)有咳嗽;入院前口腔黏膜斑阳性18例(85.7%);麻疹合并腹泻脱水休克1例(4.8%),合并肺炎12例(57.1%),合并喉炎1例(4.8%)。血常规结果示76.2%患儿白细胞总数正常,分类以淋巴细胞为主;入院后查C反应蛋白均有升高。80%患儿胸片示双肺纹理增粗伴片状影。其平均住院时间(9.14±3.05)d。所有患儿均为治愈或好转。结论高原地区小于6月龄及新生儿麻疹发病仍存在,其临床表现和实验室检查无特异性,及时诊治预后较好。需加强对高原地区免疫接种的宣教。Objective To analyze and summarize the clinical features of less than 6 months babies with measles in plateau area. Methods Less than 6 months babies with measles admitted to department of Pediatric,people s hospital of Ali District Tibet from May 2016 to April 2017 were enrolled for this study. Symptoms and signs,complications and outcome were collected and analyzed. Results From May 2016 to April 2017,21 cases with less than 6 months were enrolled. In these cases,57.1% were male. The mean birth weight was（2 610±826.4）g. 16 cases（76.2%）had fever and 12 cases（57.1%）had cough. Pneumonia was one of the most common complications. The mean Hospital stay was（9.14±3.05）days.All cases were cured and leave hospital. Conclusion The measles cases were lack of clinical characteristic and laboratory examination. The most important control strategy for measles should be the improvement of the routine immunization coverage of the target population.

关 键 词：麻疹 <6月龄 高原地区 

分 类 号：R511.1[医药卫生—内科学]