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自广泛使用麻疹疫苗以来,麻疹的总发病率明显下降,但青少年及成人患者明显增多。成人麻疹常被误诊,因而有显著的流行病学意义。我院1991年5～6月间发现7例大学生麻疹患者。为了探讨成人麻疹的某些临床特点,作者做一扼要分析。1 临床资料1.1 一般资料:7例均为男性,年龄18～23岁(5例来自农村)。住在同一宿舍楼5例。全部病例均不知有否接种过麻诊疫苗;其中1例回忆似患过麻疹。1.2 症状体征:7例均有发热,体温逐渐升高,高峰期达39.5～40.5℃,总热程5～13天。皮疹7例,1～2病日出疹者3例,3～4日出疹3例,6日者1例。出
The overall incidence of measles has dropped significantly since the widespread use of measles vaccine, but adolescents and adults have significantly increased. Adult measles is often misdiagnosed and therefore has significant epidemiological implications. In our hospital from May to June 1991 found that seven cases of measles patients. In order to explore some of the clinical features of adult measles, the authors make a brief analysis. 1 Clinical data 1.1 General Information: 7 cases were male, aged 18 to 23 years (5 cases from rural areas). Living in the same dormitory in 5 cases. All cases did not know whether vaccination had measles vaccine; one case of recurrent memory seems to have had measles. 1.2 Symptoms and signs: 7 cases were fever, body temperature gradually increased, peak 39.5 ~ 40.5 ℃, the total heat 5 to 13 days. Rash in 7 cases, 1 to 2 days of rash in 3 cases, 3 to 4 rash in 3 cases, 6 days in 1 case. Out