CAJ | 학술논문

目的：探讨登革热的临床病程及诊治特点，为登革热的临床诊治提供一定的参考依据。方法对2013年8月~2013年11月期间我科收住的68例登革热患者从临床表现特点、实验室检查、治疗过程及治疗效果、预后等方面进行分析总结。结果临床主要表现为发热、皮疹、肌肉关节痛、血白细胞下降等。治疗以对症支持的综合治疗为主，预后较好，本组临床治愈67例，1例重型登革热表现为持续高热、消化道大出血死亡。结论对于持续高热伴有皮疹、肌肉关节痛、血白细胞下降等的患者应注意排查诊断登革热，登革病毒抗体阳性有助于确诊本病。治疗以对症支持、预防并发症为主，预后良好。
목적：탐토등혁열적림상병정급진치특점，위등혁열적림상진치제공일정적삼고의거。방법대2013년8월~2013년11월기간아과수주적68례등혁열환자종림상표현특점、실험실검사、치료과정급치료효과、예후등방면진행분석총결。결과림상주요표현위발열、피진、기육관절통、혈백세포하강등。치료이대증지지적종합치료위주，예후교호，본조림상치유67례，1례중형등혁열표현위지속고열、소화도대출혈사망。결론대우지속고열반유피진、기육관절통、혈백세포하강등적환자응주의배사진단등혁열，등혁병독항체양성유조우학진본병。치료이대증지지、예방병발증위주，예후량호。
Objective To analyze the clinical features for dengue fever, and provide reference for the di-agnosis and therapy. Methods The clinical manifestation, laboratory examination, therapeutic schedule and treatment effectiveness were analyzed by retrospective investigation on the 68 patients hospitalized for treat-ment from 2013 August to 2013 November. Results The clinical manifestation were fever, rash, muscle and joints pain, decrease of white blood cell. The cases were given support therapy and comprehensive treatment. 67 cases were cure and 1 patient died of severe dengue fever presented with persistent high fever and massive hemorrhage of digestive tract. Conclusion We should pay attention to the diagnosis of dengue fever for the patients with persistent fever, rash, muscle and joints pain, decrease of white blood cell, and so on. The patient with positive antibody of dengue fever could help to make a definite diagnosis. The prognosis was good by supporting therapy to prevent complications.