Measles patient care.doc

 PAGE \* MERGEFORMAT 6 Measles patient care Measles Measles is an acute respiratory infectious disease caused by a virus, measles virus infection due to vascular endothelial cells and other cells generated when the role of delayed hypersensitivity, cortex capillary endothelial cell swelling, mononuclear cell infiltration, hyperplasia, telangiectasia , red blood cells and plasma exudation induced rash. A clinical Incubation period of 6 to 18 days. An average of 15 days. 1.1 prodromal period (3 ~ 4 days) more acute onset, fever accompanied by headache, cough, runny nose, eyelid edema, conjunctival hyperemia, photophobia, tearing, conjunctivitis and other secretions and increased performance. 90% of the patients in the oral corresponding to the first molars appear on bilateral buccal mucosa 0.5 ~ 1mm size of the gray dots, surrounded by flush, and sometimes spread to the lips and the gum Office. 1 ~ 2 days after the rash gradually disappeared, while accompanied by the spirit of apathetic, anorexia, vomiting and diarrhea. 1.2 rash period (3 to 5 days) fever 3 to 4 days after rash. Order: ears, hair, and gradually extended to the forehead, face, neck, trunk, limbs, and finally up to the palm, foot. More in three days at a time. First-pink maculopapular rash, size, sparse clear, press the fade, diameter of 2 ~ 4mm, and then an increase in skin rash encryption, mutual integration into a film, Chenganhongse, skin rash between the normal, this period increased systemic symptoms of poisoning, body temperature can reach 40 ℃ or above. Spirit of the apathetic, cough increased, shortness of breath, pulmonary rales could be heard a small amount. Conjunctival redness, photophobia, eyelid edema. Can be associated with upper gastrointestinal symptoms such as diarrhea, vomiting, etc. In severe cases, drowsiness, delirium and so on. 1.3 convalescence (3 to 5 days) rash out of Qi, the body temperature was decreased to normal within 12 ~ 24h, and the order subsided