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黄热病

最后审阅: 9 Nov 2024
最后更新: 10 Aug 2023

小结

定义

病史和体格检查

关键诊断因素

  • 存在的危险因素
  • 发热
  • 全身性症状
  • 结膜充血
  • 相对缓脉(法盖氏征)
  • 双相性疾病
  • 出血素质
  • 肾功能衰竭症状
  • 肝功能衰竭症状
  • 黄疸
完整详情

其他诊断因素

  • 低血压
  • 腹痛、呕吐和昏睡
完整详情

危险因素

  • 居住在或近期前往疾病流行区
  • 缺乏免疫
  • 蚊虫叮咬
  • 在雨季和早期旱季进行旅行
完整详情

诊断性检查

首要检查

  • 全血细胞计数 (FBC)
  • 肝功能检测
  • 凝血筛查
  • 逆转录聚合酶链反应 (RT-PCR)
  • 血清学
完整详情

需考虑的检查

  • 心电图 (ECG)
  • 组织病理学
完整详情

新兴检查

  • 病毒分离
  • 等温核酸扩增试验

治疗流程

初步治疗

原因不明的病毒性出血热

急症处理

确诊黄热病

撰稿人

作者

William A. Messer, MD, PhD

Associate Professor of Medicine

Department of Molecular Microbiology and Immunology

Division of Infectious Diseases

Oregon Health & Science University

Portland

PortlandOR

利益声明

WAM declares that he has no competing interests.

鸣谢

Dr William A. Messer would like to gratefully acknowledge Dr Philip A. Yeon and Dr Helmut Albrecht, previous contributors to this topic.

Disclosures

PAY and HA declares that he has no competing interests.

同行评议者

Carlos Franco-Paredes, MD, MPH

Assistant Professor

Emory University

TravelWell Clinic

Emory University Hospital Midtown

Atlanta

GA

利益声明

CFP declares that he has no competing interests.

Andrea K. Boggild, MSc, MD, DTMH, FRCPC

Clinical Assistant

Tropical Diseases Unit

Division of Infectious Diseases

Department of Medicine

Toronto General Hospital

University Health Network

Toronto

Canada

利益声明

AKB declares that she has no competing interests.

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