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目的分析中山大学孙逸仙纪念医院急诊科2014年收治的登革热病例的临床特征,为登革热的早期诊治和提高疗效提供临床依据。方法对中山大学孙逸仙纪念医院急诊科2014年8月至11月收治的89例登革热患者的流行病学资料、临床表现、辅助检查资料、治疗及转归情况数据进行回顾性分析。结果本组收治的登革热患者以9~10月居多,且多集中在中心城区;以中老年患者居多;主要临床表现为发热,头痛,肌肉酸痛,部分患者伴皮疹、出血,白细胞、血小板下降,肝功能谷草转氨酶升高为主。采用非抗病毒的综合治疗全部患者均可治愈,无死亡病例。结论登革热是一种自限性疾病,患病后多休息、适当对症治疗均可治愈,提高全民素质、防蚊灭蚊是预防本病的关键。
Objective To analyze the clinical features of dengue cases admitted to the Emergency Department of Sun Yat-sen Memorial Hospital of Sun Yat-sen University in 2014 so as to provide a clinical basis for the early diagnosis and treatment of dengue fever and improve the curative effect. Methods The epidemiological data, clinical manifestations, auxiliary examination data, treatment and outcome data of 89 dengue patients admitted to the Emergency Department of Sun Yat-sen Memorial Hospital, Sun Yat-sen University from August 2014 to November 2014 were analyzed retrospectively. Results The majority of dengue patients admitted in this group were from September to October, most of them were in central urban areas; most of them were middle-aged and elderly patients; the main clinical manifestations were fever, headache and muscle soreness, some patients with rash, hemorrhage, leukopenia, thrombocytopenia, Liver function aspartate aminotransferase increased mainly. The use of non-antiviral comprehensive treatment of all patients can be cured, no deaths. Conclusion Dengue fever is a self-limited disease, rest more after illness, appropriate symptomatic treatment can be cured, improve the quality of the people, mosquito control mosquito is the key to the prevention of this disease.