西双版纳中、老、缅边境地区登革热临床特征分析

发布时间：2018-08-14 16:19

【摘要】：目的探讨2013年西双版纳中、老、缅边境地区收治的634例登革热病例的临床特征。方法对2013年西双版纳州各医院收治的634例登革热病例的临床表现及实验室检查等资料进行回顾性分析;分析重症登革热病例的临床特征。结果 634例登革热病例临床表现均出现发热、乏力,其中伴皮疹372例、伴腔道出血44例、全身酸痛520例;束臂试验阳性250例,腹痛76例,腹泻65例,肝、脾肿大11例,休克7例。实验室检查中,血常规白细胞总数减少者501例,血小板减少者534例;肝功能检查总胆红素22.2 mol/L者22例,谷丙转氨酶(ALT)升高有432例;心肌酶升高48例;尿常规检查尿蛋白阳性81例;大便常规的潜血实验阳性43例。有70例为重症登革热病例,临床表现为腔道出血、皮下血肿、牙龈出血;伴严重血浆渗漏,肝、肾、心脏等重要器官损害。结论本组登革热病例临床特点大致与全国其他地区一致,但临床表现较重,出现的并发症多,重症病例所占比例超过10%,出血、休克、重要器官损害等并发症发生率高。采取科学监管,规范治疗本组未出现死亡病例。
[Abstract]:Objective to investigate the clinical features of 634 cases of dengue fever in Xishuangbanna in 2013. Methods the clinical manifestations and laboratory data of 634 cases of dengue fever in Xishuangbanna Hospitals in 2013 were analyzed retrospectively, and the clinical characteristics of severe cases of dengue fever were analyzed. Results the clinical manifestations of 634 cases of dengue fever were fever and fatigue, including 372 cases with rash, 44 cases with bleeding of cavities, 520 cases with systemic soreness, 250 cases with positive bundle arm test, 76 cases with abdominal pain, 65 cases with diarrhea, 11 cases with hepatomegaly and splenomegaly. There were 7 cases of shock. In laboratory examination, there were 501 cases of leukopenia and 534 cases of thrombocytopenia, 22 cases of total bilirubin 22.2 mol/L, 432 cases of elevated glutamate-alanine aminotransferase (ALT), 48 cases of myocardial enzyme elevation. Urine protein was positive in 81 cases and occult blood test was positive in 43 cases. There were 70 cases of severe dengue fever. The clinical manifestations were lumen hemorrhage, subcutaneous hematoma, gingival hemorrhage, severe plasma leakage, liver, kidney, heart and other important organ damage. Conclusion the clinical features of dengue fever cases in this group are similar to those in other parts of the country, but the clinical manifestations are more serious, and the incidence of complications is more than 10%. The incidence of complications such as hemorrhage, shock and damage of important organs is high. Scientific supervision was adopted to normalize the treatment of no death cases in this group.
【作者单位】：西双版纳傣族自治州人民医院;广州市第八人民医院;
【分类号】：R512.8

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