Analysis of 37 cases of measles in young people.docVIP

 PAGE \* MERGEFORMAT 5 Analysis of 37 cases of measles in young people [Keywords:] young people, measles Measles is a respiratory infection, it is mainly through the respiratory tract, the patient’s mouth, nose, pharynx, eye secretions contain virus. Measles is highly infectious, susceptible contacts of measles patients were 90% of all disease. After measles young people misdiagnosed, now in January 2008 ~ January 2009 Measles young people admitted to colleges out-patient department, 37 cases reported as follows. 1 Clinical data 1.1 General Information 37 patients, 26 males and 11 females, aged 17 to 22 years old, are college students, time of onset to 2-5 for the month, 11-December more than 36 cases, accounting for 97.29%. 1.2 History of measles vaccination The patients have been vaccinated against measles in 30 patients (81.1%, vaccination history is unknown in 7 cases (18.9%. 1.3 Clinical manifestations 1.3.1 fever The patients had fever, body temperature was missed heat type (39 ~ 40 , 40 or above 18 cases, the average heat range 3 ~ 5d, there are complications of fever extended. 1.3.2 of the symptoms of catarrh Obvious tears, photophobia, sneezing, sore throat, conjunctival hyperemia in 22 cases, accounting for 59.5%, and the degree of severity not in proportion with the rash. 1.3.3 Fees - Coriolis spot Rash on the back for some patients to treatment, causing costs - Ko’s spot is not obvious. This group of patients 2 ~ 4d were 18 visits, see fees - Ke’s spot, accounting for 48.6% of the number of early treatment. 1.3.4 rash Rash onset, 30 3 ~ 5d accounted for 81.1% .6 ~ 9d rash in 4 patients. Has an initial symptom of patients with rash, fever rash 1d rear. Rash usually lasts 4 ~ 6d, rash order mostly ears, hair, face and torso. this group of patients, 8 patients (21.6% for the rash to the trunk starting position. implicit rash occurred in 2 cases. skin are shaped red rash, part of