揭阳市登革热临床及流行病学特点(附52例临床分析)

Clinical and epidemiological features of 52 cases of dengue fever in Jieyan city

目的 探讨某地区登革热的临床及流行病学特点。方法 对 1 997～ 2 0 0 2年该地区 3次登革热流行期间在某院住院的 5 2例患者临床资料进行分析。结果 患者年龄 6～ 6 8岁 (以成年农民多见 ) ,平均 32岁 ;男 37例 ,女 1 5例。临床症状有急性发热 (1 0 0 .0 0 % ) ,皮疹 (76 .92 % ) ,出血倾向 (30 .77% ) ,淋巴结肿大 (6 9.2 3% ) ,关节肌肉疼痛 (86 .5 4 % ) ,头痛 (73.0 1 % ) ,厌食 (6 5 .38% ) ,恶心 (1 5 .38% ) ,呕吐 (7.6 9% )。结论 登革热起病缓慢 ,症状不典型 ,容易被漏诊。生活条件及生活环境较差 ,蚊虫多 。

Objective To evaluate the clinical and epidemiological features of dengue fever in a region. Methods The clinical data of 52 patients who were hospitalized during the 3 epidemic period of dengue fever from 1997 to 2002 were analysed. Results The average age of patients was 32 (6-68 years old), 37 were male, 15 were female, most were adult farmers. The clinical symptoms included: acute fever (100.00%), skin rash (76.92%), tendency of hemorrhage (30.77%), lymphadenectasis (69.23%), pain in joint and muscle (86.54%), headache (73.01%), anorexia (65.38%), nausea (15.38%) and vomiting (7.69%). Conclusion The occurrence of dengue fever is slow, the symptoms are atypical and can easily be neglected. Poor living condition and living environment with many mosquitoes are the causes of high incidence of dengue fever in adult farmers.