150527麻疹培训.pptVIP

* * * * 4 days before and 4 days after the rash onset is the infectious period. It is important to find out where the index case has been during this period and determine where further transmission could occur and intervene. 7-18 days before rash onset is the period when the case was exposed to measles. It is important to find out where the case was during this period to identify all sources of exposure and possible areas of continued measles circulation. * 首先侵入呼吸道粘膜 鼻咽部和附近淋巴结内复制 首次暴露后2-3天发生第一次病毒血症 暴露后5-7天发生第二次病毒血症 传播感染其他器官、组织 暴露后10-12天出现前驱期症状 * * 【临床表现】 3.出疹期：病程第3-4天 形态：红色斑丘疹 顺序：耳后→发际→前额→面部→