城关社区成人水痘并发症76例诊治分析

发布时间：2018-04-08 21:08

本文选题：成人水痘　切入点：并发症　出处：《蛇志》2016年04期

【摘要】：目的了解成人水痘并发症的临床特点,为成人水痘的预防和临床诊治提供依据。方法回顾性分析2011~2015年我院收治的76例成人水痘并发症患者的临床资料,对临床流行特征和并发症发生情况及预后进行分析。结果 76例成人水痘并发症患者继发皮肤感染占84.21%,肝功能损害占55.26%,呼吸道感染占47.37%;发病比例男性高于女性,且以冬春季节发病为主。76例患者经临床应用阿昔洛韦联合麻疹减毒活疫苗治疗,均治愈。结论成人水痘发病率有增高趋势,而且成人水痘并发症有发热程度和热程、全身毒血症状以及皮疹数量、各种并发症发生比例均较儿童高且严重,无疫苗免疫史患者病情较重。临床上应尽早明确诊断,及时治疗;可通过接种水痘减毒活疫苗(VarV)(建议推行2剂次接种的免疫策略)来控制发病率和减少并发症发生。
[Abstract]:Objective to understand the clinical characteristics of adult varicella complications, provide the basis for the prevention and clinical diagnosis and treatment of adult varicella. Methods a retrospective analysis of the clinical data of 76 cases of adult varicella complications in patients with 2011~2015 in our hospital, the clinical epidemiological characteristics and the occurrence of complications and prognosis were analyzed. Results 76 cases of adult varicella complications in patients with secondary skin infection 84.21%, liver damage accounted for 55.26%, accounting for 47.37% of respiratory tract infections; the incidence rate of male is higher than female, and in the winter and spring seasons occurred mainly in.76 patients by clinical application of acyclovir combined with Measles Vaccine live treatment, were cured. Conclusion the incidence of adult varicella has increased, and the adult varicella complications were fever and fever, the number of systemic blood symptom and rash, various complications were high and the proportion of children seriously, without vaccination in patients with severe illness. Pro Early diagnosis and timely treatment should be made as early as possible. We can control incidence and reduce complications by inoculating Live Attenuated Vaccine Against Varicella (VarV) (recommending 2 doses of vaccination strategy).

【作者单位】：贵州省黎平县德凤街道卫生院;
【分类号】：R511.5

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