成人麻疹196例临床分析

目的：探讨成人麻疹的流行病学与临床特征。方法：回顾性分析196例成人麻疹的临床资料。结果：患者以外来流动人员及本地农村人口多见，平均年龄26．78岁，多数患者未接种麻疹疫苗或麻疹疫苗史不详。成人麻疹患者临床症状重，皮疹典型，为充血性斑丘疹，麻疹黏膜N7（Koplik’s spots）明显，且持续时间长，可合并肝脏和心肌损伤，但并发症以肺炎和支气管炎为主。结论：有必要加强成人的免疫接种，尤其是外来的务工人员，强化医务人员对麻疹的认识，避免麻疹的流行。

Clinical Analysis of 196 Cases of Adult Measles

Objective： Discussion of epidemiology and clinical characteristics of adult measles. Methods： A retrospective analysis of clinical features of 196 cases of adult measles. Results： The main portion of the patents belongs to migrant population and local rural population with average age of 26.78 years old. Most patients are not vaccinated against measles or their measles vaccination history is unknown. Adult measles patients have serious clinical symptoms, typical skin rash, which is congestive maculopaulac and obvious Koplik＇s spots. And it lasts for long time, could be combined with liver and myocardial damage. But the complications are mainly pneumonia and bronchitis. Conclusion： It is a necessary to enhance adult immunization, especially for migrant workers. And also strengthen the awareness of measles for Medical staff to prevent measles epidemic.