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流行性出血热105例临床特征与流行病学分析

Clinical and epidemiological analysis of 105 epidemic hemorrhagic fever cases.
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摘要 目的 了解广州地区流行性出血热 (EHF)临床和流行病学特征 ,为防治EHF提供科学依据。 方法 对10 5例EHF患者的临床和流行病学资料进行综合分析。 结果 ①肾脏损伤发生率最高 ( 99 0 % ) ,其次为肝脏( 83 9% )、血液 ( 83 .5 % )、心脏 ( 81.5 % )、肺 ( 3 6.9% )损伤 ;② 2 4.7%患者具有典型 5期临床经过 ,院外误诊率高达 63 .7%。③本病广州地区常年散发 ,男性中青年民工农民多发 ,5 1.4%患者有直接或间接鼠类接触史。 结论 广州地区EHF发病人数逐年增多 ,临床表现复杂 ,病情较重 ,应加强对本病认识 。 Objective To investigate the clinical and epidemiological characteristics of epidemic hemorrhagic fever(EHF) in Guangzhou area and provide scientific basis for control of EHF. Methods The clinical and epidemiological data of 105 EHF patients were analyzed. Results ①Incidence rate of kidney injury is the highest 99.0%, followed by liver 83.9%,blood 83.5%, heart 81.5%, Lung 36.9%.②24.7% of the cases had 5 typical clinical stages, with misdiagnosis rate of 63.7% in other hospitals.③EHF is sporadic in Guangzhou area every year. Most male patients is young civilian workers and farmers.51.4% patients have direct or redirect mice-contact history. Conclusions The EHF patients in Guangzhou area is improving every year. The clinical manifestation is complicated and the patient's condition is severe, Further research be carried out in order to enhance the level of diagnosis and treatment of the disease.
出处 《中国热带医学》 CAS 2004年第4期564-565,共2页 China Tropical Medicine
关键词 流行性出血热 流行病学 临床表现 心电图 皮肤粘膜 水肿 Epidemic hemorrhagic fever Clinical feature Epidemiology
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