儿童基孔肯雅热343例临床特点分析
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Clinical characteristics of Chikungunya fever in 343 children
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    摘要:

    目的 分析基孔肯雅热患儿的临床特点,为儿童基孔肯雅热的治疗及防控提供依据。方法 回顾性分析2025年7月12日—8月17日佛山市顺德区乐从医院收治的14岁以下基孔肯雅热患儿病历资料,通过查阅电子病历获取患儿流行病学资料、临床特征、实验室检查结果、治疗方法等。结果 共纳入343例确诊基孔肯雅热儿童病例,所有病例均常住广东省佛山市。男性198例(57.73%),女性145例(42.27%);患儿平均年龄(8.6±3.3)岁。首发症状以发热(302例,88.05%)、皮疹(306例,89.21%)、关节痛(246例,71.72%)三大症状为主。入院后首次实验室检查结果显示,血常规白细胞异常95例(27.70%),血小板降低3例(0.87%),炎症指标C反应蛋白升高52例(15.16%),87例(25.36%)报告基孔肯雅病毒核酸CT值。所有病例均在隔离满7 d或基孔肯雅病毒核酸转阴后出院,无重症及死亡病例。结论 本次疫情病例均为轻型基孔肯雅热,早发现、早诊断、早治疗有利于减少并发症的发生,所有患儿预后均良好。

    Abstract:

    Objective To analyze the clinical characteristics of children with Chikungunya fever (CHIKF), and provide basis for the treatment and prevention of CHIKF in children. Methods Medical records of children under 14 years old with CHIKF admitted to Foshan Shunde District Le Cong Hospital from July 12 to August 17, 2025 were analyzed retrospectively.Epidemiological data, clinical characteristics, laboratory testing results, treatment methods of children were obtained through reviewing electronic health records. Results A total of 343 children confirmed with CHIKF were included in the analysis, all of whom resided in Foshan City, Guangdong Province. 198 were males (57.73%) and 145 were females (42.27%). The average age of children was (8.6±3.3) years old. The main initial symptoms were fever (n=302, 88.05%), rash (n=306, 89.21%), and joint pain (n=246, 71.72%). The initial laboratory testing results after admission showed that 95 cases (27.70%) had abnormal white blood cell count in blood routine, 3 cases (0.87%) had decreased platelets, 52 cases (15.16%) had increased C-reactive protein, and 87 cases (25.36%) reported Chikungunya virus nucleic acid CT values. All children were discharged after completing a 7-day quarantine or Chikungunya virus nucleic acid testing result turned negative, with no severe illness or death. Conclusion All cases from this epidemic experienced mild CHIKF. Early detection, early diagnosis, and early treatment are beneficial for reducing the occurrence of complications, and all children have good prognoses.

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梅红,杨竞旋,劳兆延,等.儿童基孔肯雅热343例临床特点分析[J]. 中国感染控制杂志,2025,24(11):1558-1562. DOI:10.12138/j. issn.1671-9638.20252985.
MEI Hong, YANG Jingxuan, LAO Zhaoyan, et al. Clinical characteristics of Chikungunya fever in 343 children[J]. Chin J Infect Control, 2025,24(11):1558-1562. DOI:10.12138/j. issn.1671-9638.20252985.

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  • 收稿日期:2025-09-22
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  • 在线发布日期: 2025-11-29
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