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目的分析郑州市第六人民医院2008年11月至2009年6月麻疹患儿的临床特点及预后。方法将这期间收治的560例麻疹患儿的流行特点、临床症状、实验室检查、并发症、治疗及预后进行统计分析。结果 560例患儿中,95.7%的患儿未注射麻疹疫苗,379例(67.6%)来自农村,8个月以下患儿386例占(68.9%),出现并发症者522例,占82.5%,552例治愈,死亡8例,死亡率1.4%,均是农村患儿。结论麻疹好发于婴幼儿,特别是未注射疫苗者,并发症的发生率高,家长对出疹性疾病重视不够,并发症发生率高,死亡率高。如及时治疗,预后良好。建议患儿及时注射麻疹疫苗,预防麻疹的发生。重症患儿应用丙球减低死亡率。
Objective To analyze the clinical characteristics and prognosis of measles children from November 2008 to June 2009 in the Sixth People ’s Hospital of Zhengzhou City. Methods The prevalence, clinical symptoms, laboratory tests, complications, treatment and prognosis of 560 measles children admitted during this period were statistically analyzed. Results Of the 560 children, 95.7% had no measles vaccine, 379 (67.6%) were from rural areas, 386 (68.9%) had children under 8 months, and 522 (82.5%) had complications , 552 cases were cured, 8 died, the mortality rate was 1.4%, all were rural children. Conclusion Measles occur in infants and young children, especially those who have not been vaccinated, the incidence of complications is high, parents pay insufficient attention to rash disease, the incidence of complications, high mortality. If treated promptly, the prognosis is good. Proposed timely injection of measles vaccine in children to prevent the occurrence of measles. Severe corticosteroid use children to reduce mortality.