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5例埃博拉病毒病患者的临床特征分析

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Keywords: 埃博拉病毒病,病例分析,治疗

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Abstract:

目的分析5例埃博拉病毒病(Ebolavirusdisease,EVD)确诊患者的诊治情况,为更好地防治EVD提供科学依据。方法2014年12月5日至2015年1月17日在利比里亚中国埃博拉治疗中心(EbolaTreatmentCenter,ETC)收治5例EVD确诊患者,对其流行病学资料、症状、体征、实验室检查及治疗转归情况进行分析。结果本次确诊的5例患者,其中3例为家庭聚集性发病;有3例患者首次埃博拉病毒核酸检测为阴性,第2次复检为阳性;临床表现以发热、乏力、呕吐、腹泻等为主,少有出血相关症状及体征;通过尽早采取退热、补液等对症、支持治疗,3例患者康复出院,2例死亡。结论对有明确密切接触史但首次埃博拉核酸检测阴性的患者,必须于72h后复检;治疗上目前仍以对症支持治疗为主,治疗的重点是纠正水、电解质紊乱,维持内环境稳定,预防并发症的发生。

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