解放军医学院学报
解放軍醫學院學報
해방군의학원학보
Academic Journal of Chinese Pla Medical School
2015年
9期
876-877,910
,共3页
埃搏拉出血热%临床特征%诊断
埃搏拉齣血熱%臨床特徵%診斷
애박랍출혈열%림상특정%진단
Ebola hemorrhagic fever%clinical characteristics%diagnosis
目的 通过分析5例利比里亚埃搏拉出血热患者的临床特点,提高对埃博拉的认识以达到早期治愈目的.方法 收集利比里亚中国埃博拉治疗中心2015年1 - 3月确诊的5例埃博拉出血热患者的临床资料,包括病史、体征、治疗等并进行分析、总结.结果 共收治男性2例,女性3例,平均年龄46岁, 治疗主要采取补充水电解质、降低胃肠道反应、控制发热等对症支持措施.最终治愈3例,死亡2例.结论 埃博拉出血热临床表现特异性差,单靠临床特征诊断困难,需结合实验室检查进行早期诊断.在特殊地域及环境,对于有发热表现的患者应结合实验室检查予以诊断及治疗.
目的 通過分析5例利比裏亞埃搏拉齣血熱患者的臨床特點,提高對埃博拉的認識以達到早期治愈目的.方法 收集利比裏亞中國埃博拉治療中心2015年1 - 3月確診的5例埃博拉齣血熱患者的臨床資料,包括病史、體徵、治療等併進行分析、總結.結果 共收治男性2例,女性3例,平均年齡46歲, 治療主要採取補充水電解質、降低胃腸道反應、控製髮熱等對癥支持措施.最終治愈3例,死亡2例.結論 埃博拉齣血熱臨床錶現特異性差,單靠臨床特徵診斷睏難,需結閤實驗室檢查進行早期診斷.在特殊地域及環境,對于有髮熱錶現的患者應結閤實驗室檢查予以診斷及治療.
목적 통과분석5례리비리아애박랍출혈열환자적림상특점,제고대애박랍적인식이체도조기치유목적.방법 수집리비리아중국애박랍치료중심2015년1 - 3월학진적5례애박랍출혈열환자적림상자료,포괄병사、체정、치료등병진행분석、총결.결과 공수치남성2례,녀성3례,평균년령46세, 치료주요채취보충수전해질、강저위장도반응、공제발열등대증지지조시.최종치유3례,사망2례.결론 애박랍출혈열림상표현특이성차,단고림상특정진단곤난,수결합실험실검사진행조기진단.재특수지역급배경,대우유발열표현적환자응결합실험실검사여이진단급치료.
Objective To analyze the clinical characteristics of 5 cases with Ebola hemorrhagic fever in Liberia, and improve the understanding of Ebola virus disease.Methods Clinical data about 5 cases with confirmed Ebola hemorrhagic fever admitted to Chinese ETU in Liberia from January to March in 2015, including medical history, signs and treatment, were analyzed.Results There were 2 male patients and 3 female patients with an average age of 46. Treatments were taken, including supplement of water electrolyte, relieve gastrointestinal reaction relief and fever control. Of the 5 cases, 3 cases were treated and 2 cases died.Conclusion The clinical manifestation of Ebola hemorrhagic fever has no specificity, and the diagnosis is rather difficult with clinical manifestation alone, laboratory examination should be taken for early diagnosis. Patients in special geography or environment who show fever performance should be diagnosed and treated timely combining with laboratory examination.
