130例麻疹临床特点分析

Analysis on the clinical features of measles in 130 cases

目的:探讨成人麻疹临床特征。方法:对收治的130例成人麻疹患者的临床资料进行回顾性分析。结果:130例患者男女比为1.7∶1,平均年龄31岁。农村占65.4%,血清麻疹IgM抗体阳性率为75.4%,热峰高于39℃占63.9%,麻疹病毒性肝炎及不同程度的心肌损害是麻疹的一个临床特征。结论:成人体内麻疹抗体量不足或消失是导致成人麻疹发病的一个原因。有必要对成人进行麻疹疫苗增强免疫。

Objective：To study the clinical features of adult measles patients by analyzing the clinical data of in-patients in the sixth people＇s hospital of Shenyang in 2006. Methods：The clinical data of 130 adult measles in-patients were analyzed by the method of retrospective analysis. Results：Among 130 cases,the ratio of male to female was 1.7∶1 and the average age was 31 years old.Rural area accounted for 65.4%（mainly distributing in some areas where external workers gathered）.The positive rate of serum measles antibody was 75.4%,the fever peak of patients was higher than 39.0 ℃ accounting for 63.9%.Measles virus hepatitis and different degrees of myicardial damage were the clinical features. Conclusion：Deficiency or disappearance of measles antibody in adult body was the cause which led to measles.Therefore,adults should be given measles vaccine to enhance immunity.