【摘要】 目的总结儿童登革热临床、实验室检查特点。方法回顾性分析2019年收治41例儿童登革热患者临床资料、实验室及病原学检查结果、预后。结果该组男女比例为1.93∶1,年龄6个月～13岁,以3～6岁所占比例最高(占53.7%)。主要临床特征为发热、皮疹、皮肤潮红、白细胞降低、血小板减少等。急性期检测登革热抗体IgM阳性率61.0%,登革热核酸检测阳性95.1%;平均住院时间(5.6±1.6)d,均康复出院。结论该组患儿临床表现典型,预后良好;DENV-RNA检测可作为登革热早期诊断的首选方法。更多还原

【Abstract】 Objective To summarize the clinical and laboratory characteristics of children with dengue fever. Methods Clinical data, laboratory/etiological results, and prognosis of 41 children with dengue fever in 2019 were retrospectively analyzed. Results The male/female ratio was 1.93∶ 1, and diagnostic age ranged from 6 months to 13 years(3-6 years,53.7%). The main clinical features were fever, rash, flushing, leukopenia and thrombocytopenia. In the acute phase, the positive rate was 61.0% for dengue antibody IgM, and 95.1% for DENV-RNA. All patients recovered, with the average length of stay being(5.6±1.6) days. Conclusion Our patients have typical manifestations and good prognosis. DENV-RNA detection could be the first choice for early diagnosis of dengue fever.更多还原