重症水痘临床特点回顾性分析.docVIP

重症水痘临床特点回顾性分析 　　【摘要】 目的：对重症水痘的临床特点进行分析，为临床诊治重症水痘提供指导意见。方法：选取2006年1月-2014年12月30例重症水痘患者作为研究对象。对所选患者的临床资料进行回顾性的总结分析，分析重症水痘的临床特点，主要包括临床表现、实验室检查、并发症情况，分析其病因，并对其治疗方法及转归情况进行探讨。结果：临床特点方面，临床表现以体质弱、高热、精神萎靡、嗜睡、疱疹为主；实验室检查结果显示，白细胞计数、中性粒细胞计数、淋巴细胞计数、红细胞计数、血小板计数、C反应蛋白水平均均出现异常；并发症主要有肝损伤、肺部感染、心肌炎、血小板减少、脑炎。病因方面，所有患者均无水痘疫苗接种史，与水痘、带状疱疹病毒密切相关。经对症治疗后，29例患者治愈出院。结论：重症水痘的临床表现较为复杂，多由水痘、带状疱疹病毒引发，经对症治疗，可有效治愈。 　　【关键词】 重症水痘； 临床特点； 病因； 回顾性分析 　　Retrospective Analysis of the Clinical Characteristics of Severe Chicken Pox/SONG Bao-jun，ZHAO Yan.//Medical Innovation of China，2016，13（06）：123-125 　　【Abstract】 Objective：To analyze the clinical characteristics of severe chicken pox in order to provide guidance for clinical diagnosis and treatment of severe chicken pox.Method：30 cases of severe chicken pox patients from January 2006 to December 2014 were selected as the research objects.The clinical data of the 30 patients were analyzed retrospectively.The clinical characteristics of severe chicken pox were analyzed，mainly including clinical manifestations，laboratory examination and complications，its causes were analyzed，its treatment methods and the prognosis of the disease were explored.Result：In the aspect of clinical features，the main clinical manifestations were physical weakness，high fever，apathetic，lethargy and herpes.The laboratory examination showed that white blood cell count，neutrophil count，lymphocyte count，red blood cell count，platelet count and C reactive protein level were all abnormal.The major complications were liver injury，pulmonary infection，myocarditis，thrombocytopenia and encephalitis.In the aspect of pathogenesis，all patients had no history of vaccination and it was closely related to chicken pox and herpes zoster virus.After symptomatic treatment，29 patients were cured.Conclusion：The clinical manifestations of severe chicken pox is complex，it was mainly caused by chicken pox and herpes zoster virus.The disease can be cured by symptomatic treatment. 　　【Key words】 Severe chicken