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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,麻疹黏膜斑(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。
Objective: To explore the epidemiology and clinical features of adult measles. Methods: A retrospective analysis of 196 cases of adult measles clinical data. Results: The migrant population and local rural population were more common, with an average age of 26.78 years. Most patients did not have measles vaccine or measles vaccine history. Clinical symptoms of measles patients with severe, typical rash is congested rash, measles mucosal lesions (Koplik’s spots) obvious and long duration, can be combined with liver and myocardial injury, but the main complications of pneumonia and bronchitis. CONCLUSIONS: There is a need to strengthen adult immunization, especially migrant workers, to reinforce awareness among medical staff about measles and to prevent the spread of measles.