儿童登革热41例临床分析  

Clinical analysis of 41 children with dengue fever

作　　者：陈清凤 蔡锋铭 周逢洽[1] 余洽超[1] 余艳媚 CHEN Qing-feng;CAI Feng-ming;ZHOU Feng-qia;YU Qia-chao;YU Yan-mei(Department of Pediatrics,Kaiping Central Hospital,Kaiping 529300,China)

机构地区：[1]开平市中心医院儿内科,广东开平529300

出　　处：《广东医科大学学报》2021年第6期753-755,共3页Journal of Guangdong Medical University

摘　　要：目的总结儿童登革热临床、实验室检查特点。方法回顾性分析2019年收治41例儿童登革热患者临床资料、实验室及病原学检查结果、预后。结果该组男女比例为1.93∶1,年龄6个月~13岁,以3~6岁所占比例最高(占53.7%)。主要临床特征为发热、皮疹、皮肤潮红、白细胞降低、血小板减少等。急性期检测登革热抗体IgM阳性率61.0%,登革热核酸检测阳性95.1%;平均住院时间(5.6±1.6)d,均康复出院。结论该组患儿临床表现典型,预后良好;DENV-RNA检测可作为登革热早期诊断的首选方法。Objective To summarize the clinical and laboratory characteristics of children with dengue fever.Methods Clinical data,laboratory/etiological results,and prognosis of 41 children with dengue fever in 2019 were retrospectively analyzed.Results The male/female ratio was 1.93∶1,and diagnostic age ranged from 6 months to 13 years(3-6 years,53.7%).The main clinical features were fever,rash,flushing,leukopenia and thrombocytopenia.In the acute phase,the positive rate was 61.0%for dengue antibody IgM,and 95.1%for DENV-RNA.All patients recovered,with the average length of stay being(5.6±1.6)days.Conclusion Our patients have typical manifestations and good prognosis.DENV-RNA detection could be the first choice for early diagnosis of dengue fever.

关 键 词：登革热 儿童 诊断 

分 类 号：R184[医药卫生—流行病学]