(儿科学课件）13.measles-2017一二系七年制讲解材料.ppt

MEASLES; Acute respiratory infectious disease caused by measles virus Clinical feature: Fever, Cough, Coryza, Conjunctivitis, Exanthem Specific signs: Koplik’s Spots hyperpigmentation;Measles history;;In 2011, large measles outbreaks were reported in all these countries and several others in: DRC (134 042 cases) Ethiopia (3255 cases) France (14 949 cases) India (29 339 cases) Italy (5189 cases) Nigeria (18 843 cases) Pakistan (4386 cases) Spain (3802 cases) ;Measles cases of in-patients in CHCMU (1964-2013);Pathogen;Pathogen;Pathogen; Classification: ssRNA virus Genus: morbillivirus Family: paramyxoviridae Serotype: Only one Location: Patients respiratory secretions Blood, Urine of patients Characterization: Sensitive to heat , ultraviolet light and disinfectant Low temperature resistance ;;;Epidemiology;Epidemiology;;*;;;;;;;;;Pathogenesis;Incubation period;Pathology;---Multinucleated giant cell(MGC);---Formative process of MGC;---Formative process of MGC;---Formative process of MGC;---Formative process of MGC;---Multinucleated giant cell(MGC);Pathology;---Others;Clinical manifestations;; Incubation stage: 10-14 days;;Clinical manifestations;Clinical manifestations;Clinical manifestations;Clinical manifestations;Clinical manifestations;Clinical manifestations;Clinical manifestations;Clinical manifestations;Clinical manifestations;Clinical manifestations;Clinical manifestations;Clinical manifestations;Clinical manifestations;Clinical manifestations;Clinical manifestations; Sequence: → behind the ear →along the hairline →face →neck →chest →back →abdomen →limbs →hand and feet(palm,sole) ;Clinical manifestations;Clinical manifestations;Clinical manifestations;Clinical manifestations;Clinical manifestations; Temp ℃;Complications;Complications; Complications; High fever More severe