成人麻疹99例流行病学和临床特征分析

摘要

Objective To investigate the epidemiological and clinical characteristics of adult measles,and to search methods for preventing and controlling measles epidemic. Methods The clinical data of 99 patients with adult measles were collected and retrospectively analyzed. Results The incidence of adult measles showed increasing trend. The patients with adult measles had the typical clinical manifestations including severe systemic toxic responses, high fever(79/99,79.80%),diarrhea(60/99,60.60%)and liver dysfunction(54/99,54.54%). Measles was easily misdiagnosed in earlier period(58/99,58.58%). But the incidence of complicationg was less(12/99,12.12%). Conclusions The key to prevent and control measles is diagnosing ,segregating and treating patients with measles in earlier period and vaccination in susceptible population.%目的 探讨本次成人麻疹流行病学和临床特点,以期更好的预防和控制麻疹.方法 对住院的99例麻疹患者的临床资料进行回顾性分析.结果 成人麻疹发病有增加趋势,临床症状典型,中毒症状重,多高热(79/99,79.80%)腹泻者多见(60/99,60.60%),易损害肝脏(54/99,54.54%),并发症不多(12/99,12.12%),早期容易误诊(58/99,58.58%).结论 对麻疹患者早诊断、早隔离、早治疗,对易感者加强麻疹疫苗接种是预防和控制麻疹的关键.