2010-2013年湖北省随州市发热伴血小板减少综合征监测结果分析[J]. 疾病监测, 2014, 29(10): 806-809. DOI: 10.3784/j.issn.1003-9961.2014.10.013
引用本文: 2010-2013年湖北省随州市发热伴血小板减少综合征监测结果分析[J]. 疾病监测, 2014, 29(10): 806-809. DOI: 10.3784/j.issn.1003-9961.2014.10.013
Surveillance for severe fever with thrombocytopenia syndrome in Suizhou, Hubei,2010-2013[J]. Disease Surveillance, 2014, 29(10): 806-809. DOI: 10.3784/j.issn.1003-9961.2014.10.013
Citation: Surveillance for severe fever with thrombocytopenia syndrome in Suizhou, Hubei,2010-2013[J]. Disease Surveillance, 2014, 29(10): 806-809. DOI: 10.3784/j.issn.1003-9961.2014.10.013

2010-2013年湖北省随州市发热伴血小板减少综合征监测结果分析

Surveillance for severe fever with thrombocytopenia syndrome in Suizhou, Hubei,2010-2013

  • 摘要: 目的 分析湖北省随州市发热伴血小板减少综合征(SFTS)的监测结果,为SFTS的诊断和防控提供科学依据。方法 采用描述流行病学对2010-2013年监测数据进行临床和流行病学特征分析。结果 病例以发热伴恶心或乏力为首发症状,血细胞检测结果为血小板和白细胞计数明显减少。2010-2013年共有发热伴血小板减少综合征布尼亚病毒(SFTSV)阳性病例101例,死亡16例;发病高峰主要集中在5-7月,呈散发状态;人群年龄分布在29~86岁之间,50岁以上发病的占83.17%;职业以农民为主,占96.03%。结论 SFTS临床表现复杂,伴有多器官损害,其死因可能与休克、病毒心肌炎、呼吸衰竭等多脏器功能衰竭有关; 患者均居住在丘陵地区,有田间或草丛活动史及蜱叮咬史。需加强 SFTS的预防意识及诊断能力。

     

    Abstract: Objective To understand the incidence of severe fever with thrombocytopenia syndrome(SFTS)in Suizhou, Hubei province and provide scientific evidence for the diagnosis, prevention and control of SFTS. Methods Descriptive epidemiological analysis was conducted on the surveillance data of SFTS in Suizhou during 2010-2013. Results The clinical manifestations of SFTS cases included fever, nausea, fatigue, thrombocytopenia and leukocytopenia. A total of 101 cases of SFTS virus infection, including 16 deaths, were reported during this period. The disease occurred sporadically. The nucleic acid positive rate was highest within 5-8 days after onset; the incidence peak mainly occurred during May-July. The patients were aged from 29 to 86 years, but the cases in age group50 years accounted for 83.17%. The cases in farmers accounted for 96.03%. Conclusion The clinical manifestations of SFTS are complex,including multiple organ damage.The death may be related with shock,viral myocarditis, respiratory failure and multiple organ failure.All the patients were from wood and hilly area, and they had worked in fields or underbrush and had tick-bite before the onset. It is necessary to strengthen the prevention and diagnosis of this emerging communicable disease.

     

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