中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
14期
118-119
,共2页
段晓艳%朱其荣%黄波%董嘉懿%段远芳
段曉豔%硃其榮%黃波%董嘉懿%段遠芳
단효염%주기영%황파%동가의%단원방
乙型脑炎%流行病学%临床特征
乙型腦炎%流行病學%臨床特徵
을형뇌염%류행병학%림상특정
Japanese encephalitis%Epidemiology%Clinical characteristics
目的：分析南充地区流行性乙型脑炎的流行病学及临床特征，为有效预防和治疗疾病提供理论依据。方法：收集2010-2013年在川北医学院附属医院住院治疗的120例流行性乙型脑炎患儿的临床资料，对其流行病学及临床特征进行回顾性分析。结果：120例流行性乙型脑炎患儿发病年龄主要集中在1~8岁，所有患儿均来自农村。发病时间为7-9月，7、8、9月发病分别为26例(21.67%)、85例(70.83%)、9例(7.50%)。轻型13例，占10.83%；普通型78例，占65.00%；重型24例，占20.00%；极重型5例，占4.17%。临床表现发热120例(100%)，头痛101例(84.17%)，呕吐109例(90.83%)，抽搐105例(87.50%)，意识障碍102例(85.00%)，呼吸衰竭19例(15.83%)，循环衰竭10例(8.33%)。血清乙型脑炎特异性IgM抗体阳性率为62.50%。85.83%的患儿住院期间发生并发症，以支气管肺炎最常见。出院时好转110例，好转率91.67%，6例患儿死亡，死亡率5.00%。结论：南充地区流行性乙型脑炎常见于8月，均来自农村地区，大多数无疫苗接种史，以普通型为主。临床表现主要有发热、头痛、呕吐、抽搐及意识障碍，大多数患者预后良好。
目的：分析南充地區流行性乙型腦炎的流行病學及臨床特徵，為有效預防和治療疾病提供理論依據。方法：收集2010-2013年在川北醫學院附屬醫院住院治療的120例流行性乙型腦炎患兒的臨床資料，對其流行病學及臨床特徵進行迴顧性分析。結果：120例流行性乙型腦炎患兒髮病年齡主要集中在1~8歲，所有患兒均來自農村。髮病時間為7-9月，7、8、9月髮病分彆為26例(21.67%)、85例(70.83%)、9例(7.50%)。輕型13例，佔10.83%；普通型78例，佔65.00%；重型24例，佔20.00%；極重型5例，佔4.17%。臨床錶現髮熱120例(100%)，頭痛101例(84.17%)，嘔吐109例(90.83%)，抽搐105例(87.50%)，意識障礙102例(85.00%)，呼吸衰竭19例(15.83%)，循環衰竭10例(8.33%)。血清乙型腦炎特異性IgM抗體暘性率為62.50%。85.83%的患兒住院期間髮生併髮癥，以支氣管肺炎最常見。齣院時好轉110例，好轉率91.67%，6例患兒死亡，死亡率5.00%。結論：南充地區流行性乙型腦炎常見于8月，均來自農村地區，大多數無疫苗接種史，以普通型為主。臨床錶現主要有髮熱、頭痛、嘔吐、抽搐及意識障礙，大多數患者預後良好。
목적：분석남충지구류행성을형뇌염적류행병학급림상특정，위유효예방화치료질병제공이론의거。방법：수집2010-2013년재천북의학원부속의원주원치료적120례류행성을형뇌염환인적림상자료，대기류행병학급림상특정진행회고성분석。결과：120례류행성을형뇌염환인발병년령주요집중재1~8세，소유환인균래자농촌。발병시간위7-9월，7、8、9월발병분별위26례(21.67%)、85례(70.83%)、9례(7.50%)。경형13례，점10.83%；보통형78례，점65.00%；중형24례，점20.00%；겁중형5례，점4.17%。림상표현발열120례(100%)，두통101례(84.17%)，구토109례(90.83%)，추휵105례(87.50%)，의식장애102례(85.00%)，호흡쇠갈19례(15.83%)，순배쇠갈10례(8.33%)。혈청을형뇌염특이성IgM항체양성솔위62.50%。85.83%적환인주원기간발생병발증，이지기관폐염최상견。출원시호전110례，호전솔91.67%，6례환인사망，사망솔5.00%。결론：남충지구류행성을형뇌염상견우8월，균래자농촌지구，대다수무역묘접충사，이보통형위주。림상표현주요유발열、두통、구토、추휵급의식장애，대다수환자예후량호。
Objective:To analyze the epidemiology and clinical characteristics of Japanese encephalitis in Nanchong area.To provide a theoretical basis for effective prevention and treatment of cases.Method:120 cases of Japanese encephalitis were enrolled from 2010 to 2013 in the Affiliated Hospital of North Sichuan Medical College.Retrospective method was used to analyze epidemiology,clinical characteristics.Result:Of the 120 cases Japanese encephalitis mainly concentrated in the age of 1-8 years old.All of the patients were from the countryside.The attacking time was between July and September,and 26 cases were in July,85 cases were in August,9 cases were in September.13 cases(10.83%) were light,78 cases(65.00%) were mild,24 cases(20.00%) were moderate and 5 cases(4.17%) were severe.The main clinical manifestation included fever(100%),headache(84.17%),vomiting(90.83%),convulsion(87.50%),consciousness disorders(85.00%),respiratory failure(15.83%),circulatory failure(8.33%).Positive rate of Japanese encephalitis Virus-IgM in serum was 62.50%.The 85.83%of the cases accompanied with different levels complications when they were in hospital.110 cases(91.67%) got better when they discharged from hospital,and 6 cases(5.00%) died.Conclusion:Most cases are reported from August in Nanchong area.All the cases are from rural and most cases with unvaccination histroy.Mild Japanese encephalitis is the majarity.Their symptoms mainly include fever,headache,vomiting,convulsion and consciousness disorders,the prognosis of most patients is good.
