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目的总结2014年9—11月间佛山地区新发的106例登革热病人的临床特点。方法对2014年收治入院的新发106例登革热病人的临床症状、体征和实验室检查进行回顾性分析。结果 2014年的新发登革热病例主要临床表现为发热(100.0%)、头痛(82.1%)、关节肌肉痛(81.1%)、畏寒(70.8%)、咽充血(59.4%)、皮疹(38.7%)、淋巴结肿大(12.3%);实验室检查主要表现为AST升高(81.1%)、ALT升高(74.5%)、血小板减少(67.9%)、白细胞减少(60.4%)、低钾血症(24.5%)。结论此次佛山地区流行的新发登革热病例,临床表现典型,合并有多脏器损害,尤其肝损害较多见,部分病例出现低钾血症,未出现登革出血热(DHF)及登革休克综合征。经及时诊断和治疗,预后良好。
Objective To summarize the clinical features of 106 newly diagnosed dengue patients in Foshan from September to November in 2014. Methods The clinical symptoms, signs and laboratory tests of 106 new cases of dengue admitted to hospital in 2014 were analyzed retrospectively. Results The main clinical manifestations of dengue fever in 2014 were fever (100.0%), headache (82.1%), joint and muscle pain (81.1%), chills (70.8%), pharyngeal congestion (59.4% ), And enlarged lymph nodes (12.3%). Laboratory tests showed elevated AST (81.1%), elevated ALT (74.5%), thrombocytopenia (67.9%), leucopenia (60.4%), hypokalemia (24.5%). Conclusion The epidemic of new dengue fever cases in Foshan is typical of clinical manifestations with multiple organ damage. In particular, liver damage is more common. In some cases, hypokalemia, dengue haemorrhagic fever (DHF) and dengue Shock syndrome. After timely diagnosis and treatment, the prognosis is good.