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麻疹分布于全球,儿童发病率最高,但自开展麻疹疫苗接种后,儿童发病率明显下降。而近20年以来发病率呈向大年龄组推移现象,临床表现各异,且不典型,极易误诊;本文就20例成人麻疹误诊分析于下: 20例中男:女为9:1。年龄16～33岁。常见误诊的疾病为“上感,肺炎,风疹,胃肠炎,喉炎和肝炎”等。90％病人的麻疹过去史,流行病学史及预防接种史不详,极不利于诊断。80％有典型科氏斑,90％第一周尿沉渣染色查见多核巨细胞有助于诊断。
Measles is distributed throughout the world and has the highest incidence among children, but the incidence of children has dropped significantly since the measles vaccination. The incidence of 20 years since the phenomenon of large age groups, clinical manifestations vary, and atypical, easily misdiagnosed; In this paper, 20 cases of adult measles misdiagnosis in the next: 20 cases of male: female 9: 1. Age 16 ~ 33 years old. Common diseases misdiagnosed as “flu, pneumonia, rubella, gastroenteritis, laryngitis and hepatitis” and so on. Past history, epidemiological history and vaccination history of 90% of patients are unknown and are extremely detrimental to diagnosis. 80% of typical Coriolis spots, 90% of the first week of urinary sediment staining to see multinucleated giant cells contribute to the diagnosis.