国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2015年
9期
1226-1228
,共3页
登革热%呼吸道感染%呼吸道症状%鉴别诊断
登革熱%呼吸道感染%呼吸道癥狀%鑒彆診斷
등혁열%호흡도감염%호흡도증상%감별진단
Dengue%Respiratory tract infection%Respiratory symptom%Differential diagnosis
目的 分析2014年9月至2014年12月乐从镇346例登革热患者合并呼吸道感染的情况,提高登革热与呼吸道感染鉴别诊断水平.方法 选择2014年9月至2014年12月佛山市顺德区乐从医院收治的346例登革热确诊病例,男164例(47.4％),女182例(52.6％),年龄1～ 87岁,平均(40.7±16.9)岁,9～ 10月为发病高峰;统计登革热合并呼吸道感染病例、伴有呼吸道症状的登革热病例、门诊误诊为呼吸道感染的病例,并进行分析.结果 43例病例合并呼吸道感染,占总数的12.4％;合并呼吸道感染的病例中,急性上呼吸道感染2例(4.6％),急性气管-支气管炎19例(44.2％),肺炎22例(51.2％).69例病例伴有呼吸道症状而无呼吸道感染,占总数的19.9％,其中咳痰27例(39.1％),咳嗽32例(46.4％),咽痛41例(59.4％).在门诊就诊时误诊为呼吸道感染40例,误诊率为11.6％.结论 登革热患者容易合并呼吸道感染;临床医生应根据流行病学史、临床表现、血常规、登革病毒抗原筛查、影像学检查等诊断,以避免误诊,提高登革热与呼吸道感染鉴别诊断水平.
目的 分析2014年9月至2014年12月樂從鎮346例登革熱患者閤併呼吸道感染的情況,提高登革熱與呼吸道感染鑒彆診斷水平.方法 選擇2014年9月至2014年12月彿山市順德區樂從醫院收治的346例登革熱確診病例,男164例(47.4％),女182例(52.6％),年齡1～ 87歲,平均(40.7±16.9)歲,9～ 10月為髮病高峰;統計登革熱閤併呼吸道感染病例、伴有呼吸道癥狀的登革熱病例、門診誤診為呼吸道感染的病例,併進行分析.結果 43例病例閤併呼吸道感染,佔總數的12.4％;閤併呼吸道感染的病例中,急性上呼吸道感染2例(4.6％),急性氣管-支氣管炎19例(44.2％),肺炎22例(51.2％).69例病例伴有呼吸道癥狀而無呼吸道感染,佔總數的19.9％,其中咳痰27例(39.1％),咳嗽32例(46.4％),嚥痛41例(59.4％).在門診就診時誤診為呼吸道感染40例,誤診率為11.6％.結論 登革熱患者容易閤併呼吸道感染;臨床醫生應根據流行病學史、臨床錶現、血常規、登革病毒抗原篩查、影像學檢查等診斷,以避免誤診,提高登革熱與呼吸道感染鑒彆診斷水平.
목적 분석2014년9월지2014년12월악종진346례등혁열환자합병호흡도감염적정황,제고등혁열여호흡도감염감별진단수평.방법 선택2014년9월지2014년12월불산시순덕구악종의원수치적346례등혁열학진병례,남164례(47.4％),녀182례(52.6％),년령1～ 87세,평균(40.7±16.9)세,9～ 10월위발병고봉;통계등혁열합병호흡도감염병례、반유호흡도증상적등혁열병례、문진오진위호흡도감염적병례,병진행분석.결과 43례병례합병호흡도감염,점총수적12.4％;합병호흡도감염적병례중,급성상호흡도감염2례(4.6％),급성기관-지기관염19례(44.2％),폐염22례(51.2％).69례병례반유호흡도증상이무호흡도감염,점총수적19.9％,기중해담27례(39.1％),해수32례(46.4％),인통41례(59.4％).재문진취진시오진위호흡도감염40례,오진솔위11.6％.결론 등혁열환자용역합병호흡도감염;림상의생응근거류행병학사、림상표현、혈상규、등혁병독항원사사、영상학검사등진단,이피면오진,제고등혁열여호흡도감염감별진단수평.
Objective To improve the level of differential diagnosis for dengue and respiratory tract infection analyzing the status of 346 patients with dengue complicated with respiratory tract infection at Lecong town from September to December,2014.Methods 346 patients confirmed with dengue and admitted into our hospital from September to December,2014 were chosen.Among which,164(47.4％) wer male and 182 (52.6％) female.They were 1-87 years old,with an average age of (40.7±16.9) years.The peak of attack occurred from September to October,2014.The dengue patients complicated with respiratory tract infection or with respiratory symptoms or misdiagnosed with respiratory tract infection at the outpatient department were calculated and analyzed.Results 43 patients(12.4％) complicated with respiratory tract infection;among which,2(4.6％) suffered from acute upper respiratory infection,19(44.2％) acute tracheobronchitis,and 22(51.2％) pneumonia.69 patients(19.9％) had respiratory symptom but no respiratory tract infection;among which,27(39.1％) had expectoration,32(46.4％) cough,and 41(59.4％) pharyngalgia.40 patients (11.6％) were misdiagnosed with respiratory tract infection.Conclusions Dengue patients complicated with respiratory tract infection easily.Clinician should avoid misdiagnosis and enhance the level of differential diagnosis for dengue and respiratory tract infection according to epidemiology,clinical features,blood routine test,dengue virus antigen screening,imaging examination,and so on.
