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目的分析埃博拉病毒病死亡病例的特征,为埃博拉病毒病的防治提供参考。方法和结果中国人民解放军第二批援利医疗队于2015年初抵达利比里亚,历时2个月,共收治5例埃博拉确诊病例,死亡2例。病例1为年轻女性,表现为发热、乏力、纳差、腹泻、出血等症状,入院后迅速死亡,死亡后口腔分泌物检测确诊为埃博拉病毒病。病例2为老年男性,主要表现为发热、乏力、肌肉酸痛、纳差、剧烈腹泻,治疗过程中血液病毒载量居高不下。最终2例患者均死于低容量性休克。结论接触者追踪隔离、感染者的早期诊治以及为感染者提供基本医疗护理是防治埃博拉病毒病的基本保障。
Objective To analyze the characteristics of death from Ebola virus disease and provide references for the prevention and treatment of Ebola virus disease. Methods and Results The second batch of aid and medical teams from the Chinese People’s Liberation Army arrived in Liberia in early 2015 and lasted for 2 months. A total of 5 confirmed cases of Ebola were admitted and 2 died. Case 1 was a young female with fever, fatigue, anorexia, diarrhea, bleeding and other symptoms. He died quickly after admission and the oral secretions were diagnosed as Ebola virus disease after death. Case 2 was an elderly male with fever, weakness, muscle aches, anorexia and severe diarrhea. The blood viral load was high during the treatment. The final two patients all died of low-volume septic shock. Conclusions Contact tracing isolation, early diagnosis and treatment of infected persons and providing basic medical care for infected persons are the basic guarantees for the prevention and treatment of Ebola virus disease.