本文選題：埃博拉病毒病 + 診斷�。� 參考：《中華醫(yī)院感染學(xué)雜志》2017年19期

【摘要】：目的探討埃博拉病毒病疫區(qū)以外國家對(duì)埃博拉病毒病的排查方案及具體防控措施。方法對(duì)醫(yī)院2014年8月-2016年5月收治的35例埃博拉病毒病排查患者的流行病學(xué)特征及臨床資料進(jìn)行回顧性分析,并通過WHO疫情通報(bào)收集非洲以外國家埃博拉確診病例信息,對(duì)其流行病學(xué)特征進(jìn)行分析。結(jié)果 35例患者均被排除埃博拉病毒病,皆非醫(yī)務(wù)人員,無明確埃博拉病毒接觸史,其中30例患者在21天內(nèi)疫區(qū)居住及旅行史,5例患者來自非疫區(qū)國家,7例最后確診為瘧疾,經(jīng)治療后6例痊愈,1例死亡;非洲以外國家確診埃博拉病毒病7例,其中6例為醫(yī)務(wù)人員,所有病例皆有明確的接觸史,其中輸入性病例4例,二代病例3例,死亡1例。結(jié)論有明確埃博拉病毒接觸史的醫(yī)護(hù)人員是埃博拉病毒病的高危人群,可通過航空途徑在潛伏期輸入至疫區(qū)外國家,潛伏期傳播風(fēng)險(xiǎn)低;對(duì)來自非洲的患者更應(yīng)重視瘧疾的診斷和經(jīng)驗(yàn)性治療;疑似病例應(yīng)盡早完善各項(xiàng)基礎(chǔ)檢查,并進(jìn)行早期基礎(chǔ)治療以降低死亡率。
[Abstract]:Objective to investigate the investigation and control of Ebola virus disease in countries outside Ebola epidemic area.Methods Epidemiological characteristics and clinical data of 35 Ebola patients admitted in our hospital from August 2014 to May 2016 were retrospectively analyzed, and the information of confirmed Ebola cases in countries other than Africa were collected by WHO epidemic notification.The epidemiological characteristics were analyzed.Results all 35 patients were excluded from Ebola virus disease, none of them were medical workers, and there was no definite history of exposure to Ebola virus. Among them, 30 patients lived and travelled in the infected area within 21 days.After treatment, 6 cases were cured and 1 case died, and 7 cases were diagnosed as Ebola virus disease outside Africa, among which 6 cases were medical workers. All cases had a clear history of contact, including 4 cases of imported cases, 3 cases of second-generation cases and 1 case of death.Conclusion Medical staff with a clear history of exposure to Ebola virus are high risk population of Ebola virus disease, which can be imported to foreign countries in the epidemic area by air route, and the risk of transmission in incubation period is low.Patients from Africa should pay more attention to the diagnosis and empirical treatment of malaria, suspected cases should be improved as soon as possible, and early basic treatment should be carried out to reduce mortality.
【作者單位】： 廣州市第八人民醫(yī)院重癥醫(yī)學(xué)科;
【基金】：2014-2017年廣州市健康醫(yī)療協(xié)同創(chuàng)新重大專項(xiàng)之“呼吸道新發(fā)突發(fā)及重大傳染病綜合防診治”(201400000002)
【分類號(hào)】：R181.3;R512.8
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本文編號(hào)：1761055