8例麻疹儿童死亡病例分析

Analysis of 8 death cases of measles in children

目的:探讨麻疹儿童死亡病例流行病学特点、主要并发症分析其死亡原因。方法:回顾性分析某医院2013年1月1日-2017年6月30日死于麻疹儿童临床资料。结果:因“麻疹”住院1095例,死亡8例,病死率73/10000。8例患儿均未接种麻疹疫苗。1例为医院内感染,2例其母亲近期患有麻疹,2例可疑医院感染,3例麻疹接触史不详。死亡原因主要为ARDS、重症肺炎、心力衰竭、麻疹脑炎、气胸纵隔气肿等。从发病至死亡平均(21.3±12.5)天。结论:及时接种麻疹疫苗,减少重点人群暴露及积极多手段治疗是减少麻疹死亡率的关键。

Objective:To investigate the epidemiological characteristics and main complications of measles in children.Method:Clinical data of children who died of measles in Hospital from January 1,2013 to June 30,2017 were retrospectively analyzed.Results:1095 people were hospitalized due to"measles"while 8 died,the fatality rate of 73/10,000.Eight children were not vaccinated with measles vaccine,one was nosocomial infection,two of their monters had measles recently,two had suspected nosocomial infection,and three had an unknown contact history.The main causes of death were ARDS,severe pneumonia,heart failure,measles encephalitis,pneumothorax mediastinum,etc.The average time from onset to death was(21.3±12.5)days Conclusion:The key to reduce measles mortality is to vaccinate measles vaccine in time,reduce the exposure of key population and treat measles with multiple methods.