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“RealityKings - probiller”-译文小记

沪滇专家携RealityKings - probiller手成功探索恙虫病临床特点

来源: 观察者网
2024-12-06 02:37:40

最佳回答

“RealityKings - probiller”沪滇专家携RealityKings - probiller手成功探索恙虫病临床特点

  中新RealityKings - probiller网上海12月5日电 (陈静RealityKings - probiller 姜蓉)恙虫病,又名丛林斑疹伤寒,是一种由恙虫病东方体感染引起的急性自然疫源性传染病。近年来,中国南方地区出现恙虫病感染上升趋势,局部流行时有发生。RealityKings - probiller

  记者5日获悉,国家儿童医学中心(上海)、上海交通大学医学院附属上海儿童医学中心张江院区创新诊疗中心联合宁洱县人民医院肾脏血液科、感染科,在《英国皮肤病学杂志》(The British Journal of Dermatology,BJD)上发表了题为A Case of Typical Eschar in Scrub Typhus(一例典型恙虫病焦痂)的影像通讯稿,展示了恙虫病患者的典型焦痂及临床特点,为非流行地区医护人员及群众认识了解恙虫病提供了参考。

中国专家在《英国皮肤病学杂志》(The British Journal of Dermatology,BJD)上发表了题为A Case of Typical Eschar in Scrub Typhus(一例典型恙虫病焦痂)的影像通讯稿。(上海交通大学医学院附属上海儿童医学中心供图)

  这是宁洱县人民医院建院以来首次在国际知名期刊发表文献,也标志着上海儿童医学中心援滇帮扶工作在提升当地科研产出方面发挥了重要作用。

  恙虫病经恙螨幼虫叮咬传播。临床上以发热、肌痛、皮疹、特征性焦痂、淋巴结肿大为特征,严重者可引起支气管肺炎、心肌炎、脑膜炎、急性肾功能衰竭及血栓等并发症,未经治疗的患者,病死率可达30%-70%。

  上海交通大学医学院附属上海儿童医学中心第14批援滇医疗队队员安康医生在云南省普洱市宁洱县人民医院支援期间,联合当地肾脏血液科王籽渝医生、黄丽华医生对肾脏血液科既往3年收治的118例恙虫病患者进行梳理总结。他们的研究发现:当地恙虫病6月至9月高发,其他月份散发;73%的患者存在典型焦痂,焦痂分布位置全身可见,集中在腹股沟、腹部、腘窝、臀部、腋窝等部位。

  根据特征性焦痂、流行病学史(特别是丛林活动史)及实验室检查,当地医生对恙虫病患者进行及时诊断和治疗,取得了良好疗效。非流行地区医护人员可能对恙虫病存在认知不足,容易发生误诊和漏诊,此文提供了典型参考。(完)

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