45例麻疹患者临床分析

目的了解2009年春季山东省泰安市麻疹患者的临床及生化特点。方法对45例麻疹患者的临床资料及实验室检查结果进行回顾性分析。结果45例患者根据发病年龄分为两组：婴幼儿组与青壮年组。两组均以发热、3～4 d后出疹为主,科普利克斑少见。婴幼儿组中16例肝功能异常,13例心肌酶异常;青壮年组11例肝功能异常,4例心肌酶异常;婴幼儿组10例并发肺炎,青壮年组3例并发肺炎,差异有统计学意义（P〈0.01）。结论2009年山东泰安市麻疹发病以婴幼儿及青壮年为主,临床表现较典型,并发症以心肌损害及肝损害为主,婴幼儿肺炎多见,预后良好。

Clinical analysis of measles in 45 patients

Objective To summarize the clinical and biochemical characterization of measles in spring of 2009, in Taian region, Shandong Province. Methods The data, including general information, clinical characteristics, and results of biochemical examinations, of 45 measles patients were retrospectively analyzed. Results 45 measles patients were devided into the infant group and the adult group. The main clinical manifestations were that rash after fever on the third or forth day in both group. Koplik＇s spots cases were few in all patients. In infant group, we found 16 cases with hepatic dysfunction and 13 cases with myocardial injury. However, we found 11 cases with hepatic dysfunction and 4 cases with myocardial injury . There was no difference between two group of hepatic dysfunction and myocardial injury. We found 10 cases with pneumonia in infant group and 3 cases in adult group. There was no difference between two group of pneumonia. Conclusion Most victims of measles were infants and adults that occurred in Taian region of Shandong Province in 2009. The main clinical manifestations were skin rash after fever. Hepatic dysfunction and myocardial injury in measles were common. Pneumonia in infant group was common. The recovery of most of these patients was good.