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目的了解发热伴血小板减少综合症的流行病学及临床特征。方法对莱州市2011年报告的39例发热伴血小板减少综合症病例及其居住环境、该村家畜养殖及蜱虫孳生情况,采用查阅病历、群众走访、现场询问进行调查。结果发病对象以从事农业等野外活动的40岁以上的中、老年人农民为主,呈高度散发状态,居住在丘陵、山区的占多数,发病时间以5～8月份为主。患者有蜱叮咬史3例,主要症状为发热、纳差、恶心、呕吐等胃肠道症状及乏力、肌肉酸痛等感染中毒症状,部分病例有咳嗽等呼吸道症状,病情加重会出现抽搐、烦躁等神经系统症状。结论应加强对农村高危人群的健康教育,同时在医务人员中开展业务培训,提高诊治能力,提高治愈率。
Objective To understand the epidemiology and clinical features of fever with thrombocytopenia syndrome. Methods 39 cases of fever with thrombocytopenia reported by Laizhou City in 2011, their living environment, livestock breeding and the breeding of ticks in this village were surveyed by referring to medical records, mass visits and on-site inquiries. Results The subjects were mainly middle- and old-aged peasants over the age of 40 engaged in field activities such as agriculture. They were highly distributed and lived mostly in hills and mountains. The onset time was mainly from May to August. The patients had history of tick bites in 3 cases. The main symptoms were fever, anorexia, nausea, vomiting and other symptoms of gastrointestinal tract and fatigue, muscle soreness and other symptoms of poisoning. In some cases, there were respiratory symptoms such as cough and aggravating symptoms such as convulsions and irritability. Neurological symptoms. Conclusions Health education should be strengthened for rural high-risk groups. At the same time, business training should be carried out among medical staff to improve diagnosis and treatment ability and increase cure rate.