CAJ | 학술논문

目的分析登革热皮疹的临床表现及特点.方法对2007年8-10月本院收治的126例登革热住院患者中伴发皮疹的87例临床资料进行分析.结果登革热患者69.0%(87/126)出现皮疹,出疹时间在发热后1～11大,59.7%(52/87)于发热后3～7天出疹,67.8%(59/87)出疹无明显顺序.43.7%(38/87)为躯干合并四肢出疹,34.5%(30/87)为四肢出疹.皮疹为斑疹者占14.9%(13/87),斑丘疹占14.9%(13/87),丘疹占18.4%(16/87),各种出血疹占26.4%(23/87),混合皮疹占21.8%(19/87).结论登革热患者在发热后3～7天出疹;出疹部位以四肢躯干为多;皮疹形态有斑疹、斑丘疹、丘疹、出血疹、疱疹等.
목적 분석등혁열피진적림상표현급특점.방법 대2007년8-10월본원수치적126례등혁열주원환자중반발피진적87례림상자료진행분석.결과 등혁열환자69.0%(87/126)출현피진,출진시간재발열후1～11대,59.7%(52/87)우발열후3～7천출진,67.8%(59/87)출진무명현순서.43.7%(38/87)위구간합병사지출진,34.5%(30/87)위사지출진.피진위반진자점14.9%(13/87),반구진점14.9%(13/87),구진점18.4%(16/87),각충출혈진점26.4%(23/87),혼합피진점21.8%(19/87).결론 등혁열환자재발열후3～7천출진;출진부위이사지구간위다;피진형태유반진、반구진、구진、출혈진、포진등.
Objective To investigate the apearance and characteristics of skin rashes in patients suffering from dengue fever.Methods Clinical data were retrospectively analyzed for 126 hospitalized patients with dengue fever collected from August to October,2007.Results Out of 126 patients with dengue fever,69.0% (87/126)had skin rashes,which usually developed from day 1 and 11 after fever.About 59.7%(52/87)of these patients developed skin rashes from day 3 to 7 after fever.No eruption order was evidenced in 59(67.8%)patients.Skin rashes were located in both the trunk and limbs in 38(43.7%)patients,and only in the limbs in 30 (34.5%)patients.The incidence rates of maculae,maculopapules,papules.hemorrhagic rash and mixed eruptions were 14.9%(13/87),14.9%(13/87),18.4%(16/87),26.4%(23/87)and 21.8%(19/87),respectively.Conclusions Most patients with dengue fever developed skin rashes from day 3 to 7 after fever.Limbs and trunk are predilection sites of skin rashes in dengue fever.Skin rashes in dengue fever is complex,including maculae,papules,hemorrhagic rashes,vesicles and mixed rashes.