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目的分析浙江省湖州市4例输入性登革热病例的临床特点和流行病学特征。方法采用描述流行病学方法对4例病例的发现、诊断和应急处置等进行回顾性分析和评价。结果4例病例均出现发热、出疹或针尖样出血点,3例出现肌肉酸痛,1例浅部淋巴结肿大,2例女性患者均出现阴道出血;实验室检查4例病例白细胞总数与血小板均降低,血清登革热特异性抗体IgM均阳性;4例患者发病前均有到东南亚国家旅游或务工史,3例患者有在当地被蚊虫叮咬史(1例不详),1例患者有类似患者接触史。结论4例登革热病例均为输入性病例,并经过实验室确认。由于发现及时,患者救治方案正确,各项防控措施落实到位,4例患者均痊愈出院,未发生二代病例,疫情得到有效控制。
Objective To analyze the clinical characteristics and epidemiological characteristics of 4 imported dengue cases in Huzhou City, Zhejiang Province. Methods Descriptive epidemiological methods were used to analyze and evaluate the findings, diagnosis and emergency treatment of 4 cases. Results 4 cases of fever, rash or needle-like bleeding, muscle pain in 3 cases, 1 case of superficial lymph nodes, vaginal bleeding in 2 patients; vaginal bleeding in 4 cases of laboratory examination and platelet count All of the four patients had a history of travel or labor to Southeast Asian countries before the onset of illness. Three patients had a local history of mosquito bites (one case was unknown), and one patient had similar history of exposure . Conclusion All four cases of dengue fever were imported and confirmed by laboratory. Due to the prompt finding, the patient’s treatment plan was correct and all the prevention and control measures were put in place, all 4 patients were discharged from hospital without second-generation cases and the epidemic was effectively controlled.