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目的:认识成人麻疹患者的临床,实验室及流行病学特点,减少漏诊和误诊。方法:回顾分析56例成人麻疹住院患者的临床资料。结果:患者的平均年龄为(26.67±7.09)岁,前驱期(4.19±2.19)d。56例患者均有发热,且以39.1~40.0℃为多。全部患者均有皮疹,69.64%的患者入院时可见到麻疹黏膜斑(K op lik′s spots)。28.57%的患者并发支气管炎及支气管周围炎。结论:近年来成人麻疹发病率有上升的趋势,且患者临床表现较重,并发症较常见。
Objectives: To understand the clinical, laboratory and epidemiological characteristics of adult measles patients and to reduce misdiagnosis and missed diagnosis. Methods: A retrospective analysis of 56 adult patients with measles hospitalized clinical data. Results: The average age of patients was (26.67 ± 7.09) years and the prodromal period was (4.19 ± 2.19) days. 56 patients had fever, and to 39.1 ~ 40.0 ℃ for more. All patients had a rash, and 69.64% of patients had measles spots on admission. 28.57% patients complicated with bronchitis and bronchitis. Conclusion: In recent years, the incidence of adult measles has risen, and the clinical manifestations of patients with severe, more common complications.