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目的了解2009年春季山东省泰安市麻疹患者的临床及生化特点。方法对45例麻疹患者的临床资料及实验室检查结果进行回顾性分析。结果45例患者根据发病年龄分为两组:婴幼儿组与青壮年组。两组均以发热、3~4 d后出疹为主,科普利克斑少见。婴幼儿组中16例肝功能异常,13例心肌酶异常;青壮年组11例肝功能异常,4例心肌酶异常;婴幼儿组10例并发肺炎,青壮年组3例并发肺炎,差异有统计学意义(P<0.01)。结论2009年山东泰安市麻疹发病以婴幼儿及青壮年为主,临床表现较典型,并发症以心肌损害及肝损害为主,婴幼儿肺炎多见,预后良好。
Objective To understand the clinical and biochemical characteristics of measles in Tai’an City, Shandong Province in the spring of 2009. Methods The clinical data of 45 patients with measles and the results of laboratory tests were retrospectively analyzed. Results 45 patients were divided into two groups based on the age of onset: infants and young adults and young adults. Both groups were fever, 3 to 4 days after the main rash, Copley spot rare. 16 cases of abnormal liver function in infants and young children, 13 cases of abnormal myocardial enzymes; young adults 11 cases of liver dysfunction, abnormal myocardial enzymes in 4 cases; 10 cases of infants and young children complicated by pneumonia, young adults with pneumonia in 3 cases, the difference was statistically Significance (P <0.01). Conclusion The incidence of measles in Tai’an City, Shandong Province in 2009 was mainly in infants and young adults. The clinical manifestations were more typical. The main complications were myocardial damage and liver damage. Infants with pneumonia were more common and the prognosis was good.