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百日咳及麻疹均为冬春季节之儿童急性传染病,因而在流行期同时感染两病的机会并非少見,1958年12月至1959年5月及1962年12月至1963年7月济南地区百日咳及麻疹同时流行,我院收容在百日咳病程中又罹患麻疹的患者,两时期內分別有172例及61例,共233例,絕大部分尚有肺炎或其它并发症,仅就其临床經过略加統計分析,并着重比較其預后情况如下: 資料分析百日咳的診断依据:(1)有密切接触史者151例(65％),否認接触史者38例,另44例情况不詳;(2)每例在病程中均有典型的陣发性痙攣性咳嗽;(3)白細胞增高,以淋巴细胞为主。 診断麻疹的依据为:(1)有肯定的痲疹接触史者176例(76％),否認者41例,16例情况不詳;(2)每例在出疹前均有发热、眼及上呼吸道的卡他症状;(3)具有典型的費——科氏斑和/或麻疹皮疹。全組中213例(91.4％)在感染麻疹后并发支气管肺炎,計疹前16例,疹后177例,主要表現为发热、气急、紫绀及肺部的细湿罗音等,其中45例曾經X光
Pertussis and measles are both acute and childhood infectious diseases in winter and spring. Therefore, it is not uncommon for them to have both infectious diseases in the epidemic period. From December 1958 to May 1959 and December 1962 to July 1963, pertussis Measles is also endemic. In our hospital, there were 172 patients and 61 patients with measles in the course of whooping cough. There were 233 cases in total in both periods, most of which still had pneumonia or other complications, Plus statistical analysis, and compared their prognosis are as follows: data analysis Pertussis diagnosis is based on: (1) there are 151 cases (65%) with close contact history, to deny contact history in 38 cases, the other 44 cases are unknown; (2) ) Each case has a typical paroxysmal spasmodic cough in the course of the disease; (3) leukocytosis, mainly to lymphocytes. Measles was diagnosed on the basis of (1) 176 cases (76%) of whom had a positive history of measles exposure, 41 cases were denied, and 16 cases not yet known; (2) In each case, fever, eyes and upper respiratory tract Of catarrhal symptoms; (3) have typical FibroCorrets and / or measles rashes. In the whole group, 213 cases (91.4%) had bronchopneumonia after measles infection, 16 cases before measles, 177 cases after rash. The main manifestations were fever, shortness of breath, cyanosis and fine rales of the lungs. Among them, 45 X-ray