中国临床实用医学
中國臨床實用醫學
중국림상실용의학
CHINA CLINICAL PRACTICAL MEDICINE
2009年
12期
68-69
,共2页
曹显刚%杨谦%孙希平%刘圆
曹顯剛%楊謙%孫希平%劉圓
조현강%양겸%손희평%류원
水痘%成人%临床分析
水痘%成人%臨床分析
수두%성인%림상분석
Varicella%adult%clinic analysis
目的 分析成人水痘的临床特征.方法 收集我院2007年1月至2009年3月收治的72例成人水痘的临床资料,对患者的临床特征进行回顾性统计分析,并与同时期随机抽取的72例儿童水痘比较.结果 72例成人水痘中前驱期时间>2 d的占87.5%(63/72),最高体温>39℃的占83.3%(60/72),病程>7 d的占93.1%(67/72),皮疹密集出现的占81.9%(59/72),出现两个或两个以上并发症的占80.6%(58/72),而同时期的儿童水痘的比例分别为4.2%(3/72),27.8%(20/72),18.1%(13/72),13.9%(10/72)和25.3%(11/72),两组各方面比较差异均有统计学意义(P<0.05).结论 成人水痘与儿童水痘相比,其前驱期时间和病程更长,皮疹分布程度更密集,临床症状更显著,出现并发症的比例更高,因此,临床上应尽早明确诊断,及时治疗,以防漏诊误诊,避免加重病情.
目的 分析成人水痘的臨床特徵.方法 收集我院2007年1月至2009年3月收治的72例成人水痘的臨床資料,對患者的臨床特徵進行迴顧性統計分析,併與同時期隨機抽取的72例兒童水痘比較.結果 72例成人水痘中前驅期時間>2 d的佔87.5%(63/72),最高體溫>39℃的佔83.3%(60/72),病程>7 d的佔93.1%(67/72),皮疹密集齣現的佔81.9%(59/72),齣現兩箇或兩箇以上併髮癥的佔80.6%(58/72),而同時期的兒童水痘的比例分彆為4.2%(3/72),27.8%(20/72),18.1%(13/72),13.9%(10/72)和25.3%(11/72),兩組各方麵比較差異均有統計學意義(P<0.05).結論 成人水痘與兒童水痘相比,其前驅期時間和病程更長,皮疹分佈程度更密集,臨床癥狀更顯著,齣現併髮癥的比例更高,因此,臨床上應儘早明確診斷,及時治療,以防漏診誤診,避免加重病情.
목적 분석성인수두적림상특정.방법 수집아원2007년1월지2009년3월수치적72례성인수두적림상자료,대환자적림상특정진행회고성통계분석,병여동시기수궤추취적72례인동수두비교.결과 72례성인수두중전구기시간>2 d적점87.5%(63/72),최고체온>39℃적점83.3%(60/72),병정>7 d적점93.1%(67/72),피진밀집출현적점81.9%(59/72),출현량개혹량개이상병발증적점80.6%(58/72),이동시기적인동수두적비례분별위4.2%(3/72),27.8%(20/72),18.1%(13/72),13.9%(10/72)화25.3%(11/72),량조각방면비교차이균유통계학의의(P<0.05).결론 성인수두여인동수두상비,기전구기시간화병정경장,피진분포정도경밀집,림상증상경현저,출현병발증적비례경고,인차,림상상응진조명학진단,급시치료,이방루진오진,피면가중병정.
Objective To analysis the clinic character of the adult varicella. Methods Totally 72 patients with the adult varicella who were hospitalized in Affiliated Qingzhou hospital from January 2007 to March 2009 were enrolled in this study. The clinic data from all patients were analyzed retrospectively and to compare with 72 infant varicella patients who be random taken suction. Results Among the 72 patients enrolled in the study, The prodromal period time that exceeded two days was 87.5 % (63/72), the high body temperature greater than 39℃ was 83. 3% (60/72) ,the course of disease that was longer than seven days was 93.1% (67/72),the tetter intensive distributing was 81.9% (59/72) ,58 patients have more than of two syndromes,but the rate of the infant varicella patients were 4. 2% (3/72) ,27.8% (20/72), 18. 1% ( 13/72), 13.9% (10/72) and 25.3% (11/72) in identical period, which were significantly different from those aspects ( P < 0. 05 ). Conclusions Their prodromal period time and course of disease were longer,tetter distributing was ntensiver,clinical symptom was strikinger, the rate of syndromes was higher. Accordingly, early diagnosis, timely therapy, that can be prevent missed diagnosis and misdiagnosis, aviod aggravately pathogenetic condition.
