摘要目的 分析成人水痘的临床特征.方法 收集我院2007年1月至2009年3月收治的72例成人水痘的临床资料,对患者的临床特征进行回顾性统计分析,并与同时期随机抽取的72例儿童水痘比较.结果 72例成人水痘中前驱期时间>2 d的占87.5%(63/72),最高体温>39℃的占83.3%(60/72),病程>7 d的占93.1%(67/72),皮疹密集出现的占81.9%(59/72),出现两个或两个以上并发症的占80.6%(58/72),而同时期的儿童水痘的比例分别为4.2%(3/72),27.8%(20/72),18.1%(13/72),13.9%(10/72)和25.3%(11/72),两组各方面比较差异均有统计学意义(P<0.05).结论 成人水痘与儿童水痘相比,其前驱期时间和病程更长,皮疹分布程度更密集,临床症状更显著,出现并发症的比例更高,因此,临床上应尽早明确诊断,及时治疗,以防漏诊误诊,避免加重病情.

abstractsObjective To analysis the clinic character of the adult varicella. Methods Totally 72 patients with the adult varicella who were hospitalized in Affiliated Qingzhou hospital from January 2007 to March 2009 were enrolled in this study. The clinic data from all patients were analyzed retrospectively and to compare with 72 infant varicella patients who be random taken suction. Results Among the 72 patients enrolled in the study, The prodromal period time that exceeded two days was 87.5 % (63/72), the high body temperature greater than 39℃ was 83. 3% (60/72) ,the course of disease that was longer than seven days was 93.1% (67/72),the tetter intensive distributing was 81.9% (59/72) ,58 patients have more than of two syndromes,but the rate of the infant varicella patients were 4. 2% (3/72) ,27.8% (20/72), 18. 1% ( 13/72), 13.9% (10/72) and 25.3% (11/72) in identical period, which were significantly different from those aspects ( P < 0. 05 ). Conclusions Their prodromal period time and course of disease were longer,tetter distributing was ntensiver,clinical symptom was strikinger, the rate of syndromes was higher. Accordingly, early diagnosis, timely therapy, that can be prevent missed diagnosis and misdiagnosis, aviod aggravately pathogenetic condition.