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纸质出版:2015
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向德栋,支轶,杨智清,陈盛,钟华,王涛,邱阳,何静,戴超,钱德惠,黎黎,毛青.5例埃博拉病毒病患者的临床特征分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(04):287-290.
Xiang Dedong,Zhi Yi,Yang Zhiqing,Chen Sheng,Zhong Hua,Wang Tao,Qiu Yang,He Jing,Dai Chao,Qian Dehui,Li Li,Mao Qing.Clinical features of Ebola virus disease: report of 5 cases[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(04):287-290.
向德栋,支轶,杨智清,陈盛,钟华,王涛,邱阳,何静,戴超,钱德惠,黎黎,毛青.5例埃博拉病毒病患者的临床特征分析[J].陆军军医大学学报(原第三军医大学学报),2015,37(04):287-290. DOI:
Xiang Dedong,Zhi Yi,Yang Zhiqing,Chen Sheng,Zhong Hua,Wang Tao,Qiu Yang,He Jing,Dai Chao,Qian Dehui,Li Li,Mao Qing.Clinical features of Ebola virus disease: report of 5 cases[J].J Amry Med Univ (J Third Mil Med Univ),2015,37(04):287-290. DOI:
目的 分析5例埃博拉病毒病(Ebola virus disease,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(Ebola Treatment Center
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72 h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。
Objective To analyze the diagnosis and treatment of 5 cases of confirmed Ebola virus disease (EVD) and provide scientific basis for better prevention and treatment of the disease. Methods Clinical data of 5 confirmed EVD patients admitted in our Ebola Treatment Center(ETC) from December 5
2014 to January 17
2015 were collected in this study. Their epidemiological history
symptoms
signs
laboratory results and treatment outcome were retrospectively analyzed. Results EVD showed obvious family aggregation
with 3 patients from 2 families in the cohort. There were 3 cases who were negative to PCR test for the first time
but positive for the second time. The most common symptoms were fever
fatigue
vomiting and diarrhea
with few bleeding-related symptoms and signs. Though early symptomatic and support treatment
such as antifebrile and infusion therapies
3 patients were fully recovered and discharged
and the other 2 died. Conclusion For the suspected patients with contact history but negative PCR result for the first time
another test must be taken in 72 h later. Support therapies are commonly applied in the treatment of EVD
focusing on correcting water and electrolyte disorders
maintaining homeostasis
and preventing complications.
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