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我院自1962年1月截止63年1月,共收容麻疹肺炎患者390例,其中并发急性喉炎者26例,白喉1例,并发率为6.9%。在27例中实施內科綜合疗法20例,气管切开7例。死亡6例(其中气管切开后死亡4例),病死率22.2%(除不足24小时內死亡三例外),其糾正病死率为11.1%。死亡者皆伴有較严重的枝气管肺炎。今将簡单情况分述如下,供同道們参考。一、临床資料分析 1.喉炎发病与季节关系:本文发病均集中于四至八月份,尤以五月份为最多。其中发病于四月者3例,五月18例,六月3例,七月2例,八月1例。这恰与烟台地区麻疹流行高峯时期相一致。而总的发病率亦較一般文献报导以冬春发病为晚。 2.年龄与性別关系:年龄最幼者4个月,最长者7岁。两岁以內发病者較多,計有17例,占66.9%;三岁以上者10例,占33.1%。性別:男16例,女11例,男女之比为1.46:1。
Our hospital since January 1962 deadline January 63, received a total of 390 patients with measles pneumonia, including 26 cases of acute laryngitis and diphtheria in 1 case, the incidence was 6.9%. In 27 cases, 20 cases were treated by internal medicine combined with tracheotomy in 7 cases. Six deaths (including 4 deaths after tracheotomy) and a 22.2% mortality (except for three deaths in less than 24 hours) resulted in a corrected fatality rate of 11.1%. Deaths are associated with more severe bronchial pneumonia. This simple case will be divided as follows, for the fellow reference. First, the clinical data analysis 1. The incidence of laryngitis and the seasonal relationship: The incidence of this article are concentrated in four to August, especially in May for the most. Including onset in April were 3 cases, 18 cases in May, June in 3 cases, 2 cases in July, 1 case in August. This coincides with the peak period of measles epidemics in Yantai. The overall incidence is also more general reported in the winter and winter incidence of late. 2. Age and gender relations: the youngest 4 months, the oldest 7 years old. The incidence of more than two years of age, accounting for 17 cases, accounting for 66.9%; over three years old in 10 cases, accounting for 33.1%. Gender: 16 males and 11 females, the ratio of male to female was 1.46: 1.