1237例儿童麻疹流行病学及临床分析

Epidemiological and clinical analysis of 1237 cases of measles in children

目的分析目前儿童麻疹的流行病学和临床特征，为进一步控制麻疹流行提供依据。方法对重庆医科大学附属儿童医院2007年所收治的1237例儿童麻疹病例临床资料进行回顾性分析。结果多数患儿麻疹发病于春夏季节，占75．3％；小于8个月患儿，占36．9％，且有母婴同患麻疹现象；临床表现不典型患儿居多；首诊误诊率高。并发症以麻疹肺炎、喉炎居多，且并发严重肺炎的患儿，恢复后有少数出现肺纤维化表现。结论本组资料表明，麻疹流行季节、年龄分布、临床特征等方面均出现一些新变化，值得高度重视。

Objective To analyse the epidemiological and clinical features of measles.in children,and provide better measures for the control of measles. Methods Clinical data of 1237 children with measles in 2007 were analyzed. Results The epidemic seasons of measles were spring and summer （75.3%）. Patients younger than 8 months were 36.9%. There were mothers and their children suffered from measles simuhaneously, and also atypical measles increased. The misdiagnosis rate was high for patients＇ first visit. The common complications were pneumonia and laryrtgitis, and several children were suffered from pulmonary fibrosis after the recovery of serious pneumonia. Conclusions The data suggest that epidenic seasons, age distribution and clinical feature of measles have changed. It is woah to pay much attention.