广西梧州市区首次登革热流行的临床特征分析

The clinical epidemiologic characteristics of dengue fever initially epidemic in Wuzhou city

目的了解梧州市区首次发生登革热流行的临床特征。方法对该院收治的60例登革热患者的临床资料进行回顾性分析。结果在60例患者中,属本土发病患者47例（78.33%）,输入性患者13例（22.67%）,全组患者呈急性发热起病,热程3-7 d,平均4.92 d,出现皮疹36例（60.00%）,白细胞（WBC）减少56例（93.33%）例,中性粒细胞（NEUT）减少55例（91.67%）,血小板（PLT）减少45例（75.00%）,无红细胞压积（HCT）升高病例;重症登革热发生率为8.33%,全组患者平均住院（4.13±1.75）d,全部临床治愈出院。结论地处亚热带的广西各地,可能存在着登革热隐性感染者或隐性疫源,应该重视和加强监测;及时定点集中治疗、密切监测、防蚊灭蚊是有效治疗患者和控制疫情的重要措施。

Objective To explore the clinical manifestations of dengue fever that was initially epidemic in Wuzhou city. Methods The clinical data of 60 cases with dengue fever in our hospital were retrospectively analyzed.Results Among the 60 cases,78. 3% were indigenous,while 22. 67% were imported. All the cases began with acute fever lasting for 3 to7 days with an average of 4. 92 days. 60. 00% were presented with a skin rash,93. 33%with a decrease in WBC,91. 67% with a decrease in NEUT and 75. 00% with a decrease in PLT. There were no cases with an increase in HCT. The incidence of severe dengue fever was 8. 33%. The average hospital stay was（ 4. 13 ±1. 75） days. All the cases were cured. Conclusion Due to the subtropical region,it is possible that inapparent infection or infectious focus exists in different areas in Guangxi. And it is necessary to kill the masquitos,and monitor the inapparent infection and infectious focus.