2018—2019 年昆明市 191 例登革热患者临床特征分析

刘冰，黄瑛，武彦，罗云，李杨，张燕玲 2

1. 大理大学公共卫生学院，云南大理 671000；2. 昆明市第三人民医院，云南昆明 650041

Analysis of clinical characteristics of 191 cases of dengue fever in Kunming from 2018 to 2019

LIU Bing ,HUANG Ying ,WU Yan ,LUO Yun ,LI Yang ,ZHANG Yan-ling

1.School of Public Health,Dali University,Dali,Yunnan 671000,China;2.Kunming Third People‘s Hospital,Kunming,Yunnan650041,China

摘要	[目的] 探讨登革热临床特征，为登革热防治提供参考依据。方法收集昆明市第三人民医院 2018—2019 年收治的登革热病例相关资料，并进行描述性统计分析。结果 191 例中，东南亚输入约 87.96%（柬埔寨占 69.64%、缅甸占 11.90%）；境内占 12.04%（西双版纳占 11.52%）。均有发热，发热平均（5.09±2.10）d，中等热、高热各占 45.03%，低热占 9.95%；头痛者 75.35%，眼眶痛者 50.26%，肌肉酸痛者 81.68%，乏力者 50.26%；平均住院天数（10.58±4.39）d。白细胞、血小板减少者 62.30%、33.51%，AST、ALT、GGT 升高者 62.30%、49.21%、38.22%；CRP、IL-6 升高者 41.46%、46.07%；ATPP 延长者63.35%。结论本组病例多来自东南亚，以柬埔寨居多；均以典型登革热临床表现为主，高热与中等发热患者各占 45.03%；外周白细胞、血小板减少及 AST、ALT、GGT、CRP、IL-6 升高，ATPP 延长为实验室常见异常指标。
关键词	登革热 ; 流行病学 ; 临床特征
Abstract：	Discuss the clinical characteristics of dengue fever, and provide reference for dengue fever prevention and treatment.Methods Collect relevant data of dengue fever cases admitted to Kunming Third People‘s Hospital from 2018 to 2019, and perform descriptive statis-tical analysis. Results Among the 191 cases, about 87.96% were imported from Southeast Asia, 69.64% were from Cambodia, and 11.52% were fromXishuangbanna. All patients had fever, with an average fever of (5.09±2.10) days, moderate fever and high fever each accounted for 45.03%, low feveraccounted for 9.95%; headache 75.35%, orbital pain 50.26%, muscle pain 81.68%, fatigue 50.26%; average the hospital stay was (10.58±4.39) days.White blood cell and thrombocytopenia were 62.30%, 33.51%, AST, ALT, GGT were elevated 62.30%, 49.21%, 38.22%; CRP and IL-6 were elevated41.46%, 46.07%; ATPP prolonged 63.35%. Conclusion Most of the cases in this group are from Southeast Asia, mostly from Cambodia; they are main-ly clinical manifestations of typical dengue fever, 45.03% of patients with high fever and moderate fever each; peripheral white blood cells, thrombocy-topenia and AST, ALT, GGT, CRP, IL-6 liters High, prolonged ATPP is a common abnormal index in the laboratory.
Keywords	Dengue fever ; Epidemiology ; Clinical features ; Serotype
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全文稿件	2018—2019 年昆明市 191 例登革热患者临床特征分析.pdf (1338KB)

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