乌鲁木齐市成人麻疹住院患者临床特征分析

中国疫苗和免疫 Pub Date : 2009-12-01
Mai-ti Mijiti, He Sun, Yan Zhang
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引用次数: 0

摘要

目的:分析成人麻疹临床、实验室特征及人群分布特点,为成人麻疹防治提供科学依据。方法:采用描述流行病学和统计学方法对2007年10月至2008年3月在新疆乌鲁木齐市新疆维吾尔自治区人民医院住院的成人麻疹患者的临床资料进行分析。结果:患者平均年龄25.5岁。63例发热,以39.1 ~ 40.0℃居多。61例(96.8%)患者出现皮疹,54例(85.7%)患者在入院时出现koplik斑。并发急性气管支气管炎26例(41.3%)。28例(44.4%)胸片显示炎症影。11例(17.5%)患者血检中性粒细胞比例偏高。18例(28.6%)患者丙氨酸转氨酶升高。所有患者均已康复。结论:近年来,中国成人麻疹病例呈上升趋势。患者的临床特征各不相同。因此,有必要对中国成年人群的补充免疫问题进行讨论并作出决定。
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[Analysis on clinical characteristics of adult measles inpatients in Urumqi Municipal].

Objectives: To analyze the clinical and laboratory characteristics, and characteristics of population distribution as well, and to provide the scientific data for the adult measles control.

Methods: Using descriptive epidemiology and statistical approach to analyze the clinical information for the adult measles patients hospitalized in People's Hospital of Xinjiang Uygur Autonomous Region of Urumqi city in Xinjiang province of China between Oct. 2007 and Mar. 2008.

Results: The average age of all the patients was 25.5 years old. 63 patients had fever and most of them were at 39.1-40.0'C. 61(96.8%) patients had rash, and 54 (85.7%) patients had koplik spots at the moment of hospitalization. 26 (41.3%) patients had the complications of acute tracheobronchitis. And the chest radiograph of 28 (44.4%) patients showed the inflammatory shadow. The proportion of the neutrophils of 11 (17.5%) patients was high level in the blood testing. The alanine aminotransferase of 18 (28.6%) patients were elevated. All the patients were recovery.

Conclusion: More and more adult measles patients occurred in China in recent years. The clinical characteristics among the patients was variable. It is necessary to discuss and make a decision about the issue of supplementary immunization for adult population in China.

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