摘要
目的分析发热伴血小板减少综合征(severe fever with thrombocytopenia syndrome,SFTS)患者的流行病学与临床特征,探讨有效地防控措施。方法对六安市2013-2015年人民医院收治的SFTS患者进行分析,病例资料来源于患者住院病案信息以及六安市疾病预防控制中心流行病学个案调查表和《中国疾病预防控制信息系统》。结果本研究共调查30例患者,死亡2例(6.67%)。2015年发病21例(70.00%),发病高峰为4~5月和8~10月;SFTS患者主要集中在金寨县12例(40.00%)和霍山县7例(23.33%);有明确蜱虫叮咬史9例(30.00%)。临床特征主要为96.67%为转院患者,86.67%初次就诊在卫生室,治愈6例(20.00%),平均住院费用7 365.70元,实验室检查血小板计数均降低,80.00%外周血白细胞计数降低。结论六安市SFTS发热伴血小板减少综合征疾病负担较重,中老年人和农民为高危人群,春、秋季节高发,金寨县、霍山县等山区为高发地区,均为散发病例。
Objective To understand the epidemiological and clinical characteristics of severe fever with thrombocytopenia syndrome（SFTS）. Methods Data of patients with SFTS hospitalized in Lu′an People′s Hospital from 2013 to 2015were collected and analyzed. Results A total of 30 cases were included in the study,two patients died（6.67%）.21 patients occurred in 2015（70.00%）,and disease peak season were from April to May and from August to October.Majority of patients were from Jinzhai county（40.00%）and Huoshan county（23.33%）.Nine cases had the history of tick bites（30.00%）.96.67% of patients were transferred cases,86.67% were diagnosed by doctors in the local clinics.6patients were completely recovered（20.00%）.The average expense for hospital stay was 7 365.70 RMB.All patients had lower platelet counts and 80.00%of patients had lower WBC counts. Conclusions The disease burden of severe fever with thrombocytopenia syndrome in Liuan city is high.The middle-aged and the elderly and farmers are at high-risk.Spring and autumn are disease peak seasons.Jinzhai and Huoshan are counties with majority of patients,and all the cases are sporadic ones.
出处
《中国预防医学杂志》
CAS
CSCD
2017年第3期219-222,共4页
Chinese Preventive Medicine
关键词
发热伴血小板减少综合征
流行病学
临床特征
Severe fever with thrombocytopenia syndrome
Epidemiological
Clinical characteristics
