CAJ | 학술논문

目的为了解佛山地区近十年流行性出血热的临床特点及预后影响的危险因素,特开展此研究.方法分析390例流行性出血热病人的临床资料的特点,并对疾病严重程度的相关因素作相关分析.结果所有病例均有发热症状,以腰痛、乏力、腹泻为主;仅有71.8％患者经特异性IgM抗体阳性检测证实;具有典型临床五期经过者占43.6％;实验结果显示,多数患者存在肝、肾、肺、心等不同程度损伤;血液净化、严重器官损害、肾功能、五期经过与疾病严重程度关系较为密切.结论为避免漏诊,应加强血小板、尿蛋白等血清学检查.
목적 위료해불산지구근십년류행성출혈열적림상특점급예후영향적위험인소,특개전차연구.방법 분석390례류행성출혈열병인적림상자료적특점,병대질병엄중정도적상관인소작상관분석.결과 소유병례균유발열증상,이요통、핍력、복사위주;부유71.8％환자경특이성IgM항체양성검측증실;구유전형림상오기경과자점43.6％;실험결과현시,다수환자존재간、신、폐、심등불동정도손상;혈액정화、엄중기관손해、신공능、오기경과여질병엄중정도관계교위밀절.결론 위피면루진,응가강혈소판、뇨단백등혈청학검사.
Objective To understand the clinical features of epidemic hemorrhagic fever and prognosis influencing factors in Foshan area in the past 10 years.Methods 390 cases of patients with clinical features of HERS data,and related factors of disease severity correlation analysis were studied.Results All patients had fever symptoms,back pain,fatigue and diarrhea.Only 71.8％ of patients were detected specific IgM antibodies confirmed as positive.Those with five phases of the typical clinical accounted for 43.6％.Experimental results showed that the majority of patients had liver,kidney,lung,heart and other varying degrees of damage.Blood purification,severe organ damage,kidney function,and five phases process had a closer relationship with the severity of the disease.Conclusion To avoid missed diagnosis,platelet serology and urine protein inspection should be enhanced.